DR. ABBY KELTY (PHD) – Psychologist, NPI 1629644067

DR. ABBY KELTY (PHD) is a healthcare provider. based in Louisville, Kentucky. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 266796 (KY). The NPI Number for DR. ABBY KELTY (PHD) is 1629644067

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. ABBY KELTY (PHD)
NPI
1629644067
Phone
(618) 559-3167
Address
4407 BIRCH VIEW DR
Enumeration Date
27 May 2021
Last Update Date
17 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5024262777
Graduation Year
2020 (6 years ago)
PAC ID
3678970324
Group Practice PAC ID
5193025922
Professional Enrollment ID
I20210922001479
Address ID
KY402224718LO7984XRDXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

253 CLINICAL PSYCHOLOGIST in KY

Provider Addresses for DR. ABBY KELTY (PHD)

  • 4407 BIRCH VIEW DR

    LOUISVILLE, KY 402995885

    Phone: (618) 559-3167

    Type: Mailing

  • 7984 NEW LAGRANGE ROAD

    LOUISVILLE, KY 40222

    Phone: (502) 426-2777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210922001479IClinical PsychologistKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40299)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193025922View full group profile
NameSpecialtyState
Clinical PsychologistKY
Clinical PsychologistKY
Clinical PsychologistKY
Clinical PsychologistKY
-KY
Clinical PsychologistKY

Reviews

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Frequently asked questions

Is DR. ABBY KELTY (PHD) listed with a National Provider Identifier?
Yes — DR. ABBY KELTY (PHD) has NPI 1629644067 on file in the registry.
Is there an active status for DR. ABBY KELTY (PHD)?
For scheduling context, DR. ABBY KELTY (PHD) is shown as active in the registry.
What area of care is associated with DR. ABBY KELTY (PHD)?
DR. ABBY KELTY (PHD)'s record emphasizes Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. ABBY KELTY (PHD) associated with Louisville?
Public fields place DR. ABBY KELTY (PHD) around Louisville, Kentucky. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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