Theresa Kellam, PH.D.
NPI 1205248150ActiveOrganization· Community/Behavioral Health· Fort Worth, TX
Community/Behavioral Health in Fort Worth, Texas, registered in NPPES in May 2014. The authorized official on file is Theresa Kellam, PH.D., Owner/Psychologist.
Overview
| NPI | 1205248150 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2014 |
| Last updated in NPPES | May 27, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Behavioral Health Primary | 251S00000X | 32518 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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