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

Individual provider Clinical Psychologist · NPI 1346087301

Kelly Elizabeth Deragon, PSYD is a Clinical Psychologist in Providence, Rhode Island. Qualified in 2021, 5 years ago. Practices with Child and Family Psychiatry, Inc, a 86-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
5
Licensed in
RI
In the registry since
2024
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

1 Richmond Sq
Providence, RI 02906-5139
Phone: (401) 309-1844
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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 PS02305 (RI)

Record details

NPI number1346087301
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 9, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Child And Family Psychiatry, Inc. — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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