IndividualActive
Patrick Kelly, PHD
NPI 1982934816 · Mental Health Counselor · Mesa, AZ
Provider details
- NPI number
- 1982934816
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- LISAC-1448 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
5540 E Broadway Rd
Suite 13
Mesa, AZ 85206-1440
Phone: (480) 830-8299
Fax: (480) 830-1820
Street-level locationGet directions
Mailing address
5540 E Broadway Rd
Mesa, AZ 85206-1440
Registry dates
- Enumerated
- 2009-12-25
- Last updated
- 2009-12-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.