DR. KEELY KOLMES PSY.D.
NPI 1386867273
Psychologist in Oakland, CA

NPI Status: Active since April 10, 2007

Contact Information

2940 SUMMIT ST STE 2D
OAKLAND, CA
ZIP 94609
Phone: (415) 501-9098

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  • Individual
  • Female
  • Psychologist
  • PECOS Enrolled
  • Opted-Out Medicare

About KEELY KOLMES

This page provides the complete NPI Profile along with additional information for Keely Kolmes, a provider established in Oakland, California with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1386867273 assigned on April 2007. The practitioner's primary taxonomy code is 103T00000X with license number PSY21284 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1386867273
Provider Name
DR. KEELY KOLMES PSY.D.
Gender
Female
Entity Type
Individual
Location Address
2940 SUMMIT ST STE 2D OAKLAND, CA 94609
Location Phone
(415) 501-9098
Mailing Address
2940 SUMMIT ST STE 2D OAKLAND, CA 94609
Mailing Phone
(415) 501-9098
Is Sole Proprietor?
Yes
Enumeration Date
04-10-2007
Last Update Date
11-29-2021
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A psychologist like Keely Kolmes studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Keely Kolmes opted out of Medicare effective on 01-01-2015 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
PSY21284
License State
CA
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Medicare Participation & PECOS Enrollment Status

Keely Kolmes 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

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-01-2015

  • Opt-Out End Date: 01-01-2027

  • Eligible to Order and Refer? 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

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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.
1386867273
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2316616614214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 1 + 6 + 6 + 1 + 4 + 2 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1386867273 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225461403 INDIA GOMEZ PHD
Individual
Psychologist (Clinical)2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(510) 926-6829
1962883611 KATIE FINDLEY MS, BCBA, LMFT
Individual
Marriage & Family Therapist2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(707) 529-7966
1144852005 ZOE ILANA DAVIS LMHC
Individual
Counselor (Mental Health)2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(510) 270-0110
1689860009 JULIE WATERS LMFT
Individual
Marriage & Family Therapist2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(510) 560-3864
1902121262MS. KATHLEEN ERIN BRADY LCSW
Individual
Social Worker (Clinical)2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(510) 982-6697
1508520180OCEAN VIEW FAMILY THERAPY, PC
Organization
Marriage & Family Therapist2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(707) 780-2053
1659504058MS. ANA ERAMI LCSW
Individual
Social Worker (Clinical)2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(510) 542-0119
1366647133 ANGIE E ANGELES LCSW
Individual
Social Worker (Clinical)2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(510) 397-9129
1255966529 ISABEL DIAMOND LMFT
Individual
Marriage & Family Therapist2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(510) 761-8978
1912448853BAY AREA COMMUNITY THERAPY
Organization
Community/Behavioral Health2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(707) 929-4123
1851673743MS. ALANA ROSE MORAZZINI LCSW
Individual
Social Worker (Clinical)2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(510) 616-6172
1619176708 CRYSTAL MARIE SIMMONS
Individual
Psychologist2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(510) 601-0203
1598474033 NADEZDA LEAVITT
Individual
Marriage & Family Therapist2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(310) 880-5503
1215610746OCTAVE THERAPY LICENSED CLINICAL SOCIAL WORK INC
Organization
Social Worker (Clinical)2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(402) 981-6624
1902680077MCILROY PROFESSIONAL CORPORATION
Organization
Integrative Medicine2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(833) 423-4276
1457377269MS. CHARLOTTE PARKER MFT
Individual
Marriage & Family Therapist2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(510) 658-1105
1164947354DR. DANIELLE MAY HOWELL PSY.D.
Individual
Psychologist (Clinical)2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(510) 982-1000
1902672041YAARAH FAMILY THERAPY & WELLNESS SERVICES INC
Organization
Marriage & Family Therapist2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(510) 216-6212
1851168603EMPOWER PSYCHIATRY, MEDICAL CORPORATION
Organization
Psychiatry & Neurology (Psychiatry)2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(650) 600-9234
1851071609THE WAVE WITHIN PROFESSIONAL CLINICAL COUNSELOR CORPORATION
Organization
Counselor (Mental Health)2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
(916) 538-0051

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386867273, enumerated in the NPI registry as an "individual" on April 10, 2007

The provider is located at 2940 Summit St Ste 2d Oakland, Ca 94609 and the phone number is (415) 501-9098

The provider's speciality is Psychologist with taxonomy code 103T00000X

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).

No, the provider signed an affidavit on January 01, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2027.

This NPI record was last updated on April 10, 2007. 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.