P Praxis·MD
● Active Type 2 · Organization

Theresa Kellam, PH.D.

Community/Behavioral Health·Fort Worth, TX· NPI 1205248150 · Enumerated 2014 · 12 years on NPI
Theresa Kellam, PH.D. is 1 of 2078 community/behavioral health organizations in Texas.
NPI age
12 years
Enumerated 2014-05-27
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kellam
Owner/psychologist
Last NPPES update
2014-05-27
Source: monthly bulk 2026-05

How this organization compares

Across 2078 active community/behavioral health providers in Texas.

NPI age
12 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-05Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
2201 Dottie Lynn Pkwy, Suite 127
Fort Worth, TX 761204432
📞 8173137899
Mailing address
2201 Dottie Lynn Pkwy, Suite 127
Fort Worth, TX 761204432
📞 8173137899

Authorized official

Theresa Kellam, PH.D.
Owner/psychologist
📞 8173137899

Specialties

  • Community/Behavioral Health Primary
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    TX license #32518 taxonomy 251S00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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