DR. JENNIFER KELLY (PSYD) – Psychologist, NPI 1831259365

DR. JENNIFER KELLY (PSYD) is a healthcare provider. based in Newburyport, Massachusetts. specializing in Psychologist. They hold the professional credentials PSYD. They hold a License No. 4623 (MA). The NPI Number for DR. JENNIFER KELLY (PSYD) is 1831259365

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER KELLY (PSYD)
NPI
1831259365
Phone
(978) 463-3030
Address
1 MERRIMAC LANDING
Enumeration Date
12 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9789485015
Graduation Year
1987 (39 years ago)
PAC ID
7214194745
Professional Enrollment ID
I20120210000214
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. JENNIFER KELLY (PSYD)

  • 1 MERRIMAC LANDING

    STE 17

    NEWBURYPORT, MA 01950

    Phone: (978) 463-3030

    Fax: (978) 463-0009

    Type: Location

  • 465, Main Street, Rowley, Essex County, Massachusetts, 01938, United States

    ROWLEY, MA 01964

    Phone: (978) 463-3030

    Fax: (978) 463-0009

    Type: Mailing

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: 2012-02-10

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
I20120210000214IClinical PsychologistMATBD

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

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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 01950)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JENNIFER KELLY (PSYD)?
DR. JENNIFER KELLY (PSYD) — NPI 1831259365 — is the standard way to identify this listing.
Does CMS list DR. JENNIFER KELLY (PSYD) as active?
Yes — DR. JENNIFER KELLY (PSYD) is active in the NPI listing used on this page.
What is DR. JENNIFER KELLY (PSYD)'s primary classification?
Psychologist is the headline specialty for DR. JENNIFER KELLY (PSYD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JENNIFER KELLY (PSYD) on a map?
Expect Newburyport, Massachusetts as a primary anchor for DR. JENNIFER KELLY (PSYD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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