IndividualActive
Kevin Kelly, PH.D.
NPI 1508059080 · Psychologist · Ukiah, CA
Provider details
- NPI number
- 1508059080
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSY9275 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
598 Cochrane Ave
Ukiah, CA 95482-5621
Phone: (707) 463-1447
Fax: (866) 204-9690
Street-level locationGet directions
Mailing address
598 Cochrane Ave
Ukiah, CA 95482-5621
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2007-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.