NPPES file of Aug 9, 2026

Jennifer Elisabet Kelly, PSY.D.

Cognitive & Behavioral Psychologist · Portland, OR

Jennifer Elisabet Kelly, PSY.D. is a cognitive & behavioral psychologist with a practice address in Portland, Oregon, and NPI 1730464157, issued on Oct 17, 2011. Check the license with the Oregon board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1730464157
Name
Jennifer Elisabet Kelly
Credential
PSY.D.
Primary taxonomy
Cognitive & Behavioral Psychologist 103TB0200X
Practice location
833 SW 11TH Ave, Portland, OR 97205
Phone
(971) 248-5050
Enumerated
Oct 17, 2011
Record last updated
May 23, 2017 (not updated in 9 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20140107000878); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 833 SW 11TH Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Tina Anctil, PH.D., LPCMental Health Counselor1427465376
  2. Ronni Batterman, LCSWClinical Social Worker1053545798
  3. Moira Bell, LCSWClinical Social Worker1336323732
  4. Martha Bibb, DMDGeneral Practice Dentistry1992866859
  5. Eric Blake, N.D.Naturopath1992837546
  6. Tasha Bollermann, D.M.D.General Practice Dentistry1184786212

Verify Jennifer Elisabet Kelly in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Oregon board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Oregon license search

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Jennifer Elisabet Kelly among 35 cognitive & behavioral psychologist records in Oregon

Jennifer Elisabet Kelly, PSY.D. is one of 35 cognitive & behavioral psychologist records with a practice address in Oregon. 0% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2011, is newer than 51% of them.

  • NPI issued2011 · 51% of these records are older, 43% newer
  • In a Medicare fileNo · 0% of these records are
  • In the CMS Doctors and Clinicians fileYes · 11% of these records are
  • Record last updated2017 · 57% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TB0200X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cognitive & Behavioral Psychologist providers in Oregon

There are 35 cognitive & behavioral psychologist records in Oregon. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 cognitive & behavioral psychologist records with the nearest ZIP codes

  1. Jill Waldman, PSY.D.Portland, OR 972051932355674
  2. Joseph Gretsch, PSYD, ABPP, LICENSEDPortland, OR 972041588642953
  3. Gary Davis, PHDPortland, OR 972021396171088
  4. Kathleen Hoffman, M.S.Portland, OR 972101740616325
  5. Myles RizviPortland, OR 972141124678123
  6. Abraham MeressaPortland, OR 972201356103295
  7. Jerusha Detweiler-Bedell, PH.D.Portland, OR 972211346574449
  8. Kimberly WisotzkePortland, OR 972211336578665

Common questions

What is Jennifer Elisabet Kelly, PSY.D.'s NPI number?

Jennifer Elisabet Kelly, PSY.D.'s National Provider Identifier (NPI) is 1730464157, issued on Oct 17, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Jennifer Elisabet Kelly, PSY.D. located?

The NPPES record lists a practice address at 833 SW 11TH Ave, Portland, OR, 97205. Phone: (971) 248-5050. Providers update this record themselves, so call before visiting.

How can I verify Jennifer Elisabet Kelly, PSY.D.'s license?

Search the Oregon board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.