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

Individual provider Clinical Psychologist · NPI 1669023750

Kellie E Nissen, PSYD is a Clinical Psychologist in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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

451 51st St
Oakland, CA 94609-2143
Phone: (860) 878-0350
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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 35141 (CA)

Record details

NPI number1669023750
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 20, 2019
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

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