Provider Demographics
NPI:1992827307
Name:KARJOO, KELLY V (PSYD)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:V
Last Name:KARJOO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:KELLY
Other - Middle Name:V
Other - Last Name:BATTISTONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:25108 MARGUERITE PKWY # A89
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-2497
Mailing Address - Country:US
Mailing Address - Phone:949-350-5747
Mailing Address - Fax:
Practice Address - Street 1:25108 MARGUERITE PKWY # A89
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-2497
Practice Address - Country:US
Practice Address - Phone:949-350-5747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23595103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical