Dr Diane Renee Kelley, PHD - Medicare Psychologist in Manhattan Beach, CA

Dr Diane Renee Kelley, PHD is a medicare enrolled "Psychologist - Clinical" provider in Manhattan Beach, California. She graduated from medical school in 1974 and has 50 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 1021 N Sepulveda Blvd, Suite H, Manhattan Beach, California. You can reach out to her office (for appointments etc.) via phone at (310) 559-3164.

Dr Diane Renee Kelley is licensed to practice in California (license number PSY12962) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194819797.

Contact Information

Dr Diane Renee Kelley, PHD
1021 N Sepulveda Blvd, Suite H,
Manhattan Beach, CA 90266-5965
(310) 559-3164
(310) 802-8856

Map and Direction




Healthcare Provider's Profile

Full NameDr Diane Renee Kelley
GenderFemale
SpecialityClinical Psychologist
Experience50 Years
Location1021 N Sepulveda Blvd, Manhattan Beach, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Diane Renee Kelley graduated from medical school in 1974
  NPI Data:
  • NPI Number: 1194819797
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 03/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4789823238
  • Enrollment ID: I20130613000640

Medical Identifiers

Medical identifiers for Dr Diane Renee Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194819797NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY12962 (California)Primary
106H00000XMarriage & Family Therapist MFC5783 (California)Secondary

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 Diane Renee Kelley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Diane Renee Kelley, PHD
1021 N Sepulveda Blvd, Suite H,
Manhattan Beach, CA 90266-5965

Ph: (310) 559-3164
Dr Diane Renee Kelley, PHD
1021 N Sepulveda Blvd, Suite H,
Manhattan Beach, CA 90266-5965

Ph: (310) 559-3164

Reviews and Comments


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