DR. KELLEY GILL (NPI# 1083087456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083087456 |
| Entity Type | Individual |
| Full Name | DR. KELLEY GILL |
| Credential | PH.D. |
| Practice Address |
1752 Nw 3rd Ter #213 Fort Lauderdale FL 33311-4885 |
| Practice Telephone | 2034309108 |
| Mailing Telephone | 2034309108 |
| Enumeration Date | 2015-11-07 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 9562 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3512 Quentin Rd Ste 110, Brooklyn, NY 112344245 | 7189426595 |
| Street Address |
1752 NW 3RD TER #213 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33311-4885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
| 1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
| 1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
| 1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
| 1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
| 1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
| 1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
| Find all providers in zip 33311 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| 1508483355 | Elizabeth Levin | Psychologist | 3250 Ne 28th St Apt 303, Fort Lauderdale, FL 33308-7446 | 2020-06-27 |
| 1033601653 | Neuro Intergration LLC | Psychologist | 2500 N Federal Hwy Ste 100, Fort Lauderdale, FL 33305 | 2018-05-30 |
| 1679001465 | Ainsley Kennard | Psychologist | 1975 E Sunrise Blvd Ste 511, Fort Lauderdale, FL 33304-1409 | 2017-05-24 |
| 1508308511 | Marcela Mejia | Psychologist | 2425 E Commercial Blvd Ste 405, Fort Lauderdale, FL 33308-4029 | 2016-11-08 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1679974877 | Jennifer Ellen Ackrish | Psychologist | 915 Middle River Dr Ste 410, Fort Lauderdale, FL 33304-3561 | 2014-09-08 |
| 1629410915 | Jessie Jenny Alfin | Psychologist | 1400 Nw 14th Ct, Fort Lauderdale, FL 33311-5426 | 2013-07-27 |
| 1366796435 | Heather Robinson Violante | Psychologist | 2419 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4042 | 2012-10-29 |
| 1720358245 | Amanda Lea Meneses | Psychologist | 4545 N Federal Hwy, Fort Lauderdale, FL 33308-5203 | 2012-01-02 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33311 |
Please comment or provide details below to improve the information on DR. KELLEY GILL.
| 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.