DR. KATHLEEN J KELLY (NPI# 1053334151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053334151 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN J KELLY |
| Credential | PHD |
| Practice Address |
1701 Ne 42nd Ave Ste 102 Ocala FL 34470 |
| Mailing Address |
6651 Se 8th St Rd Ocala FL 34472 |
| Practice Telephone | 3523514940 |
| Practice Fax Number | 3523518902 |
| Mailing Telephone | 3524544701 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY7221 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 75334 | 01 |
| 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 |
| 1013241512 | Kathleen Marie Kelly | Psychologist | #1670 Calle Georgina Volga, Urb. Reparto De Diego, San Juan, PR 00926-9998 | 2009-09-30 |
| 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 |
| Street Address |
1701 NE 42ND AVE STE 102 |
| City | OCALA |
| State | FL |
| Zip Code | 34470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538123880 | Mary S Driscoll | Psychologist | 1701 Ne 42nd Ave, Suite 102, Ocala, FL 34470-5018 | 2006-04-13 |
| 1952728420 | Tracy Lynn Kitchen | Social Worker | 1701 Ne 42nd Ave, Suite 102, Ocala, FL 34470-8022 | 2014-03-23 |
| 1306261284 | Grove Chiropractic LLC | Chiropractor | 1701 Ne 42nd Ave, 403, Ocala, FL 34470-8022 | 2014-02-28 |
| 1821229477 | Charlotte Richard | Counselor | 1701 Ne 42nd Ave, Ocala, FL 34470-8022 | 2009-07-30 |
| 1053569780 | Cheryl Heather Whitmire | Counselor | 1701 Ne 42nd Ave, Suite 301, Ocala, FL 34470-8022 | 2008-09-06 |
| 1912164914 | Esther V Leger-odom | Social Worker | 1701 Ne 42nd Ave, Ocala, FL 34470-8022 | 2008-05-19 |
| 1356526396 | Dr Brent Mruz Psyd Pa | Community/Behavioral Health | 1701 Ne 42nd Ave, Suite 102, Ocala, FL 34470-8022 | 2008-01-09 |
| 1114122462 | Brent Patrick Mruz | Psychologist | 1701 Ne 42nd Ave, Suite 102, Ocala, FL 34470-8022 | 2007-06-18 |
| 1952448656 | James L Walsh Dc Pa | Chiropractor | 1701 Ne 42nd Ave, Suite 401, Ocala, FL 34470-8022 | 2007-01-31 |
| 1760401491 | James Louis Walsh | Chiropractor | 1701 Ne 42nd Ave, Suite 403, Ocala, FL 34470-8022 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568988947 | Quad Nurse Home Health Care LLC | Home Health | 2647 Ne 3rd Street, Suite #2, Ocala, FL 34470 | 2017-08-17 |
| 1609306208 | Samuel's Transportation, Inc. | Non-emergency Medical Transport (VAN) | 5905 Ne 3rd Pl, Ocala, FL 34470 | 2017-06-15 |
| 1932555802 | Chenora Netaschia Adjei-christie | Counselor | 3620 Ne 8th Pl Ste 5, Ocala, FL 34470 | 2016-05-10 |
| 1811363906 | Clinical Laboratory Diagnostics, LLC. | Clinical Medical Laboratory | 3855 East Silver Springs Blvd., Executive Suite 105, Ocala, FL 34470 | 2015-08-12 |
| 1659787752 | Molly Bordelon Stanford | Dentist | 4910 E Silver Springs Blvd, Ocala, FL 34470 | 2014-07-09 |
| 1346651502 | Christopher M. Pell, LLC | Chiropractor | 901 E Silver Springs Blvd, Ocala, FL 34470 | 2014-05-09 |
| 1174831242 | Lisa Buckler Wood | Massage Therapist | 611 Ne 25th Avenue, Ocala, FL 34470 | 2010-09-22 |
| 1578890349 | Diane C Bandy | Counselor | 1701 Ne 42nd Avenue, Ocala, FL 34470 | 2009-11-15 |
| 1992949341 | M Jane Foye | Family Medicine | 1515 W Silver Springs Blvd., #226, Ocala, FL 34470 | 2009-04-29 |
| 1205077005 | Robert Floyd Bitters | Hearing Instrument Specialist | 111 Ne 25th Ave, Suite 204, Ocala, FL 34470 | 2009-03-09 |
| Find all providers in zip 34470 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841813136 | Yolanda Deyoung | Psychologist | 303 Ne 117th St, Ocala, FL 34479-1050 | 2020-05-21 |
| 1104392448 | Wendy Jane Lader | Psychologist | 3002 Se 1st Ave Ste 100, Ocala, FL 34471-0407 | 2018-10-14 |
| 1093130957 | Mohamed Khan | Psychologist | 4750 Nw 67th St, Ocala, FL 34482-2247 | 2014-02-28 |
| 1538501952 | Sonia Maria Medina | Psychologist | 3235 Sw 34th St Ste 101, Ocala, FL 34474-7502 | 2013-07-26 |
| 1881814309 | Stacey Jo Hoffman | Psychologist | 3021 Sw 27th Ave, Ocala, FL 34474 | 2007-04-26 |
| 1295746212 | Ann Lan Mames | Psychologist | 3035 Sw 27th Ave, Ocala, FL 34471-0105 | 2006-08-11 |
| 1982615381 | Jason Lane Burns | Psychologist | 2023 Laurel Run Dr, Ocala, FL 34471-8372 | 2006-08-10 |
| 1841243367 | Suna Barry | Psychologist | 1720 Sw 29th Ter, Ocala, FL 34474-2928 | 2006-05-18 |
| 1609828458 | Ava C Land | Psychologist | 1135 Ne 8th Ave, Ocala, FL 34470-5368 | 2006-05-17 |
| 1841240124 | Colleen D Character | Psychologist | 2801 Sw College Rd, Suite 4, Ocala, FL 34474-7406 | 2006-05-10 |
| Find all providers in OCALA | ||||
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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.