DR. KATHLEEN MARIE KELLY (NPI# 1013241512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013241512 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN MARIE KELLY |
| Credential | PHD |
| Practice Address |
#1670 Calle Georgina Volga Urb. Reparto De Diego San Juan PR 00926-9998 |
| Mailing Address |
1670 Calle Amarillo Urb. Reparto De Diego San Juan PR 00926-3043 |
| Practice Telephone | 7875109032 |
| Mailing Telephone | 7875109032 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2014-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3891 | PR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335511 | Kathleen Kelly | Social Worker | 1672 S Ocean Ln Apt 155, Fort Lauderdale, FL 33316-3341 | 2020-10-27 |
| 1699226415 | Kathleen Ann Kelly | Clinical Medical Laboratory | David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 | 2016-10-17 |
| 1033510359 | Kathleen P Kelly | Licensed Practical Nurse | 25 Rogers Pl, Hyde Park, NY 12538-1112 | 2014-09-05 |
| 1730522418 | Kathleen Kelly | Registered Nurse | 319 Middlesex Rd, Buffalo, NY 14216-3140 | 2013-04-11 |
| 1528328432 | Kathleen Marie Kelly | Behavioral Analyst | 1031 S Crescent Heights Blvd, Los Angeles, CA 90035-2632 | 2012-05-24 |
| 1174739882 | Kathleen Petrie Kelly | Physical Therapist | 4 Kildare Walk, Rockaway Point, NY 11697-1708 | 2007-05-16 |
| 1073664710 | Kathleen Lorraine Kelly | Counselor | 1070 W. Horizon Ridge Pkwy., Suite 200, Henderson, NV 89012-6019 | 2007-01-16 |
| 1811062839 | Kathleen Kelly | Nurse Practitioner | 55 Fruit Street Yaw 4b, Boston, MA 02114-2696 | 2006-11-22 |
| 1467455147 | Kathleen A Kelly | Dentist | 44 E Mifflin St, Ste 204, Madison, WI 53703-2895 | 2005-05-24 |
| 1295208999 | Kathleen Kelly | Registered Nurse | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-01-04 |
| Street Address |
#1670 CALLE GEORGINA VOLGA URB. REPARTO DE DIEGO |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00926-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023081 | Urology Hub LLC | Internal Medicine | 940 Los Romero St Suite 1540, San Juan, PR 00926 | 2020-11-06 |
| 1700487246 | Elimaliel Suarez Cortes | Psychologist | Carr 877 Km1.6, Camino Las Lomas, San Juan, PR 00926 | 2020-11-02 |
| 1407455405 | Ricardo Enrique Jimenez Ramos | Pharmacist | Professional Offices Park, 1001 Calle San Roberto Suite 101, San Juan, PR 00926 | 2020-10-21 |
| 1679180806 | Nicolle Rodriguez Mercado | Occupational Therapist | Expresso Trujillo Alto Pr-181 Carretera 846, Trujillo Medical, San Juan, PR 00926 | 2020-10-01 |
| 1700493616 | Mana Home Associates, Inc | PACE Provider Organization | 671 Avenida Acuario, Urb Venus Gardens, San Juan, PR 00926 | 2020-09-24 |
| 1497361117 | Victor Francisco Rivera Beltran Sr. | General Practice | 455 Calle Lirio, Mansiones De Rio Piedras, San Juan, PR 00926 | 2020-09-17 |
| 1053925370 | Rafael Esteban Amador Gonzalez | Student in an Organized Health Care Education/Training Program | La Campina 79 Calle 1, San Juan, PR 00926 | 2020-09-03 |
| 1366053811 | Diana Paola Rivera | Psychologist | 706 Avenida Escorial, Caparra Heights, San Juan, PR 00926 | 2020-08-10 |
| 1831708437 | Gymar M Vargas | Student in an Organized Health Care Education/Training Program | Urb La Utt, Calle Juan D Lefebres #10, San Juan, PR 00926 | 2020-07-29 |
| 1558979427 | Luis Hiram Zayas Martinez | Social Worker | Calle 8 #373 Ext San Agustin, San Juan, PR 00926 | 2020-07-16 |
| Find all providers in zip 00926 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099947 | Anthony Vives De Leon | Psychologist | Iturregui Plaza Shopping Center, 1135 Avenida 65 De Infanteria, Ste 215-a, San Juan, PR 00924 | 2020-10-02 |
| 1285252486 | Sarel Rivera Rios | Psychologist | 103 Ave De Diego Apt 905, San Juan, PR 00911-3507 | 2020-07-14 |
| 1427675347 | Lourdes A. Gonzalez Vazquez | Psychologist | Ave. Munoz Rivera 1007, Edificio Darlington Oficina 902, San Juan, PR 00927 | 2020-06-26 |
| 1629606611 | Eduin Eladio Caceres Ortiz | Psychologist | 1479 Ave Ashford Ste 6, San Juan, PR 00907-1583 | 2020-03-27 |
| 1427684505 | Maria Gabriela Velasco Corrada | Psychologist | 576 Ave Arterial B Apt 1207, San Juan, PR 00918-2211 | 2020-03-20 |
| 1497389290 | Ileana Burgos | Psychologist | Calle De Diego Cond. De Duego Chalets 474, San Juan, PR 00923 | 2020-03-02 |
| 1689204794 | Maria Melisa Velazquez | Psychologist | Monte Atenas Office Park Suite 215, Ave. Las Cumbres Km4.0, San Juan, PR 00926 | 2020-01-17 |
| 1164062410 | Mayra E. Davila Rivera | Psychologist | Ave: Monte Carlo # 34354 Parcela B Finca Mariem, San Juan, PR 00929-1194 | 2020-01-14 |
| 1558901371 | Maily Dennisse Rivera-maldonado | Psychologist | Ponce De Leon 735, Torre Medica Auxilio Mutuo Suite 501, San Juan, PR 00918 | 2020-01-09 |
| 1194362558 | Nayda Ivette Roman-vazquez | Psychologist | 511 Ave Hostos Ste 103, San Juan, PR 00918-3247 | 2019-12-04 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.