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

Individual provider Cognitive & Behavioral Psychologist · NPI 1730464157

Dr. Jennifer Elisabet Kelly, PSYD is a Clinical Psychologist in Portland, Oregon. Qualified in 2011, 15 years ago. Accepts Medicare assignment.

Years since qualifying
15
In the registry since
2011
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

833 SW 11th Ave Ste 245
Portland, OR 97205-2132
Phone: (971) 248-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X

Record details

NPI number1730464157
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 17, 2011
Last updated in NPPESMay 23, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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