Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336364660 Individual Practitioner Male Practitioner

Kenneth Kelly

Psychologist - School • Aztec, NM

Professional Overview & Biography Verified Profile Summary

Kenneth Kelly is a registered healthcare professional specializing in Psychologist - School in Aztec, NM. Practice services are available at 1118 W AZTEC BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1118 W Aztec Blvd

Aztec, NM 874101818

Telephone 5053343695
Associated Practice Facility / Clinic
🏢 Aztec Municipal Schools Facility NPI 1649469271

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Aztec, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Aztec, NM (251 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Merrilee Williams , SLP

Speech-Language Pathologist

NPI 1043643729

Speech-Language Pathologist

Glynnis Urban , CMHC

Counselor - Mental Health

NPI 1093884520
Tanya Ober , MS, CCC-SLP

Speech-Language Pathologist

NPI 1245419498

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Lissa Paak , OT

Occupational Therapist

NPI 1346513157

Occupational Therapist

Barbara Snyder

Psychologist - School

NPI 1366722027
Gordon Henriksen

Physical Therapist

NPI 1386916583

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 18, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2010

Registered at 1118 W AZTEC BLVD, AZTEC, NM 874101818 (Tel: 5053343695)

📍
Updated Business Mailing Address August 18, 2010

Registered at 212 N VALLEY BLVD, BLOOMFIELD, NM 874135749 (Tel: 6029993618)

👤
Provider Name / Credentials Updated August 18, 2010

Recorded as KENNETH KELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2010

Psychologist

🟢
Initial NPI Registration & Enumeration April 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kenneth Kelly. Be the first to share your experience!

Sign in to leave a review for Kenneth Kelly

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1336364660
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2007
Last Update: August 18, 2010
Sole Proprietor: No

Mailing Address

212 N Valley Blvd

Bloomfield, NM 874135749

Phone: 6029993618

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.