Michael Kelly, NP
Michael Kelly, NP is a Psychiatric/Mental Health Nurse Practitioner in Tustin, CA, registered under NPI 1003206004.
Getting there
Here is what surrounds this office in Tustin, based on OpenStreetMap data collected Sep 11, 2026. Parking is available about 0.47 mi away. The nearest transit stop is 972 ft away, served by 17th-Prospect. If you arrive early, there is a coffee shop 0.24 mi away.
Getting here and what is nearby
Parking 276 ft ~2 min
Restaurant Thai Chaiyo Tustin 307 ft ~2 min
17602 East 17th Street, Tustin
Parking 415 ft ~2 min
Transit 17th-Enderle Center 567 ft ~3 min
Restaurant Taco Bell 585 ft ~3 min
17502 East 17th Street, Tustin 92780
Mo-Th 08:00-24:00; Fr-Sa 08:00-25:00
Transit 17th-Yorba 631 ft ~3 min
Restaurant Jack in the Box 830 ft ~4 min
Transit 17th-Prospect 972 ft ~4 min
Coffee Coffee Grinder 0.23 mi ~5 min
Coffee Bad Ass Coffee of Hawaii 0.24 mi ~5 min
Gas station 76 0.24 mi ~5 min
Gas station Chevron 0.27 mi ~6 min
17241 East 17th Street, Tustin 92780
Parking 0.47 mi ~10 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 95001913 | CA | Psychiatric/Mental Health Nurse… primary |
This provider holds licence 95001913 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Psychiatric/Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003206004 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 28, 2015 |
| Last updated | Jan 24, 2019 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | NP |
| Practice address |
17601 17TH ST STE 120 Tustin, CA 92780 (714) 769-6090 |
| Mailing address |
215 SANTA ISABEL AVE Costa Mesa, CA 92627 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 0 | 6 | 0 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 0 | 3 | 0 | 0 |
Sum = 36 · next multiple of 10 = 40 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.