Kristin Shelesky, Ph.D.
Psychologist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1578710596
StatusActive
Last updated in NPPESOct 12, 2026
Details
- NPI
- 1578710596
- Entity type
- Individual (NPI-1)
- Name
- Kristin Shelesky
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2008
- Certification date
- Oct 12, 2026
- Last updated
- Oct 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 017322 | PA | Yes |
Practice location
4001 Main St Apt 202Philadelphia, PA 19127-2142
Phone 215-792-3587 · Fax 267-540-3517
Mailing address
2214 Northbank PlPhiladelphia, PA 19125-4397
Phone 215-792-3587
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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