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DR. KELLY KEARNS PSYD NPI 1568775211


NPI Information

NPI: 1568775211
Provider Name: DR. KELLY KEARNS, PSYD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
101 EISENHOWER PKWY STE 300
ROSELAND, NJ
ZIP 07068
Phone: (630) 673-7914
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DR. Kelly Kearns, PSYD is a clinical neuropsychologist in Roseland, NJ with 17 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Kelly Kearns, PSYD NPI is 1568775211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 EISENHOWER PKWY STE 300
ROSELAND, NJ
ZIP 07068-054
Phone: (630) 673-7914
Fax: (973) 677-4253

The NPI 1568775211 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Neuropsychological testing evaluation by qualified health care professional, first 60 minutes (HCPCS:96132)

The enumeration date for this NPI number is 7/23/2010 and was last updated on 12/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical Neuropsychologist101-A438NEW JERSEYNo
2103G00000XClinical Neuropsychologist35SI00484400NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.