DR. THOMAS M KELLEY (PH.D) – Mental Health Counselor, NPI 1588640338

DR. THOMAS M KELLEY (PH.D) is a healthcare provider. based in Troy, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D. They hold a License No. 6301001119 (MI). The NPI Number for DR. THOMAS M KELLEY (PH.D) is 1588640338

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS M KELLEY (PH.D)
NPI
1588640338
Phone
(248) 524-0050
Address
2888 E LONG LAKE RD
Enumeration Date
22 December 2005
Last Update Date
7 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485240050
Graduation Year
1972 (54 years ago)
PAC ID
6406997667
Professional Enrollment ID
I20100109000368
Address ID
MI480857011TR2888XRDXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for DR. THOMAS M KELLEY (PH.D)

  • 2888, East Long Lake Road, Troy, Oakland County, Michigan, 48085, United States

    170

    TROY, MI 480853793

    Phone: (248) 524-0050

    Fax: (248) 524-0146

    Mailing address matches the actual address.

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: 2010-01-09

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
I20100109000368IClinical PsychologistMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour10913$0
View full utilization report →

Insurance plans in this area (ZIP 48085)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. THOMAS M KELLEY (PH.D)'s NPI?
Yes. DR. THOMAS M KELLEY (PH.D) is listed with NPI 1588640338 in the public NPI dataset.
Does CMS list DR. THOMAS M KELLEY (PH.D) as active?
Yes — DR. THOMAS M KELLEY (PH.D) is active in the NPI listing used on this page.
What is DR. THOMAS M KELLEY (PH.D)'s primary classification?
Mental Health Counselor is the headline specialty for DR. THOMAS M KELLEY (PH.D) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. THOMAS M KELLEY (PH.D) on a map?
Expect Troy, Michigan as a primary anchor for DR. THOMAS M KELLEY (PH.D) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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