Dr Joseph Kelly, PHD is a
Psychologist - Clinical physician based in Tustin, California. Dr Joseph Kelly is licensed to practice in California (license number 30307) and his current practice location is 228 W Main St, Tustin, California. He can be reached at his office (for appointments etc.) via phone at
(949) 558-4925.
NPI number for Dr Joseph Kelly is 1306209150 and his current mailing address is 228 W Main St, Tustin, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306209150.
Physician's Profile
| Full Name | Dr Joseph Kelly |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 228 W Main St, Tustin, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306209150
- Provider Enumeration Date: 03/30/2016
- Last Update Date: 10/22/2025
Medical Identifiers
Medical identifiers for Dr Joseph Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306209150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 30307 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 30307 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Joseph Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Joseph Kelly, PHD 228 W Main St, Tustin, CA 92780-4320 Ph: (916) 715-4741 | Dr Joseph Kelly, PHD 228 W Main St, Tustin, CA 92780-4320 Ph: (949) 558-4925 |
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