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

Dr. Kelly Phillips, PHD

Individual provider Clinical Neuropsychologist · NPI 1518595859

Dr. Kelly Phillips, PHD is a Clinical Psychologist in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with Change Within Reach Inc, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2020
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

11400 W Olympic Blvd Ste 660
Los Angeles, CA 90064-1679
Phone: (310) 935-0032
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY35802 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PSY35802 (CA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PSY35802 (CA)
Forensic Psychologist Taxonomy 103TF0200X · Licence PSY35802 (CA)

Record details

NPI number1518595859
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Change Within Reach Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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