Susan Joan Kelly, AMFT
NPI 1063173623ActiveIndividual· Psychoanalyst· Los Gatos, CA
Psychoanalyst (AMFT) in Los Gatos, California, with an NPI issued in January 2022.
Overview
| NPI | 1063173623 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AMFT |
| Sole proprietor | No |
| NPI issued | Jan 6, 2022 |
| Last updated in NPPES | Jan 6, 2022 |
| Certified by provider | Jan 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychoanalyst Primary | 102L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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