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

Susan Schack Kelly, PHD

Individual provider Clinical Psychologist · NPI 1023658168

Susan Schack Kelly, PHD is a Clinical Psychologist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
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

8609 Germantown Ave # 2F
Philadelphia, PA 19118-2863
Phone: (646) 265-2484
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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 PS016698 (PA)

Record details

NPI number1023658168
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 7, 2020
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020

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