Individual
DR. KELLY RENEE GOODNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
121 OLIVE ST, KELLER, TX 76248-2238
(817) 379-4663
(817) 379-0320
Mailing address
121 OLIVE ST, KELLER, TX 76248-2238
(817) 379-4663
(817) 379-0320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
31223
TX
103TA0400X
Addiction (Substance Use Disorder) Psychologist
31223
TX
103TA0700X
Adult Development & Aging Psychologist
31223
TX
103TB0200X
Cognitive & Behavioral Psychologist
31223
TX
103TC0700X
Clinical Psychologist
31223
TX
103TC2200X
Clinical Child & Adolescent Psychologist
31223
TX
103TF0000X
Family Psychologist
31223
TX
103TF0200X
Forensic Psychologist
31223
TX
103TR0400X
Rehabilitation Psychologist
Primary
31223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31223
STATE BOARD OF EXAMINERS
TX
Enumeration date
02/23/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us