Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Heather Lake Kelly, PSYD

Individual provider Clinical Psychologist · NPI 1801931548

Dr. Heather Lake Kelly, PSYD is a Clinical Psychologist in Scotts Valley, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

800 Bethany Dr
Scotts Valley, CA 95066-2820
Phone: (831) 438-3800
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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 PSY 18917 (CA)

Record details

NPI number1801931548
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJuly 8, 2007

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