Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kelcie Daelynn Willis, PHD

Individual provider Clinical Psychologist · NPI 1336882133

Dr. Kelcie Daelynn Willis, PHD is a Clinical Psychologist in Boston, Massachusetts. Qualified in 2023, 3 years ago. Practices with The General Hospital Corporation, a 1,276-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2022
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

55 Fruit St # 10B
Boston, MA 02114-2696
Phone: (627) 726-4178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3700 County Road 312, Cleburne, TX 76031-8762 — (817) 733-8881

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY10001258 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336882133
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 19, 2022
Last updated in NPPESJune 1, 2025
Certification dateJune 1, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The General Hospital Corporation — 1276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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