Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Diane Renee Kelley, PHD

Individual provider Clinical Psychologist · NPI 1194819797

Dr. Diane Renee Kelley, PHD is a Clinical Psychologist in Manhattan Beach, California. Qualified in 1974, 52 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
52
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1021 N Sepulveda Blvd Ste H
Manhattan Beach, CA 90266-5965
Phone: (310) 559-3164
Fax: (310) 802-8856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY12962 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence MFC5783 (CA)

Record details

NPI number1194819797
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESMarch 2, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manhattan Beach