IAN KELLY
NPI 1336506781
Marriage & Family Therapist in Rancho Cucamonga, CA
NPI Status: Active since January 15, 2016
Contact Information
9479 HAVEN AVE
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 771-8023
- Individual
- Male
- Marriage & Family Therapist
- PECOS Enrolled
About IAN KELLY
This page provides the complete NPI Profile along with additional information for Ian Kelly, a provider established in Rancho Cucamonga, California with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1336506781 assigned on January 2016. The practitioner's primary taxonomy code is 106H00000X with license number 105802 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1336506781
- Provider Name
- IAN KELLY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730
- Location Phone
- (909) 771-8023
- Mailing Address
- 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-15-2016
- Last Update Date
- 12-12-2018
- Code Navigator
A marriage and family therapist like Ian Kelly help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Marriage & Family Therapist
- Taxonomy Code
- 106H00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 105802
- License State
- CA
- Taxonomy Description
- A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Medicare Participation & PECOS Enrollment Status
Ian Kelly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for IAN KELLY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 5 | 0 | 6 | 7 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 10 | 0 | 12 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 0 + 0 + 1 + 2 + 7 + 1 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1336506781 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760508121 | JEFFREY N. MAR, M.D., INC. Organization | Clinic/Center (Adolescent and Children Mental Health) | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1023279056 | JEFFREY N MAR MD INC Organization | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1801135793 | KELSEY MASSIS RD Individual | Dietitian, Registered | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1700144227 | MRS. AMANDA MARIE PATCH RD, CD Individual | Dietitian, Registered | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1396904835 | MS. DARISSA LYNN BROOKS MS, LMFT Individual | Marriage & Family Therapist | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1447656293 | JESSICA SEALE RD Individual | Dietitian, Registered | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1962852616 | NATALIE LAGGER RD Individual | Dietitian, Registered | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1184247249 | MRS. CANDICE YVONNE LEM BROTHERTON APCC Individual | Counselor (Mental Health) | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1043812704 | ANNIQUE CORNEJO MS, RD Individual | Dietitian, Registered | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1639844178 | MRS. SHAWNA ROSA RDN Individual | Dietitian, Registered | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1427780477 | SARA CHAMBERLIN MA Individual | Counselor (Mental Health) | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1598498495 | JESSICA MACCALLUM M.A. Individual | Counselor (Mental Health) | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1952034290 | MELISSA STALLARD PSYD Individual | Psychologist (Clinical) | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 908-6285 |
| 1790408946 | ALAN JAMES CAMACHO PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1649559295 | KELSIE KEATING LCSW Individual | Social Worker (Clinical) | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
| 1043235815 | JEFFREY N MAR M.D. Individual | Psychiatry & Neurology (Psychiatry) | 9479 HAVEN AVE RANCHO CUCAMONGA, CA 91730 (909) 771-8023 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336506781, enumerated in the NPI registry as an "individual" on January 15, 2016
The provider is located at 9479 Haven Ave Rancho Cucamonga, Ca 91730 and the phone number is (909) 771-8023
The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on January 15, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.