ROBERT LONG KELLEY (NPI# 1093876609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093876609 |
| Entity Type | Individual |
| Full Name | ROBERT LONG KELLEY |
| Credential | MD |
| Practice Address |
20 Hope Ave Suite 201 Waltham MA 20453 |
| Mailing Address |
Box 620359 Newton Lower Falls MA 02462 |
| Practice Telephone | 7818914909 |
| Mailing Telephone | 7818914909 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
24754 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MK0074803AR | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968240 | Robert Lee Kelley IIi | Occupational Therapist | 615 Brooks Mill Cir, Hermitage, TN 37076-4141 | 2020-09-25 |
| 1972008779 | Robert H. Kelley | Social Worker | 73 Page Rd, Needham, MA 02492 | 2018-03-26 |
| 1255731063 | Robert Kelley | Pharmacist | 4209 192nd Pl Sw, Lynnwood, WA 98036-5633 | 2014-08-28 |
| 1093957334 | Robert Stanislaw Kelley | Student in an Organized Health Care Education/Training Program | 5637 Peachtree Dunwoody Road, Suite 700, Atlanta, GA 30342 | 2009-04-01 |
| 1528250081 | Robert Paul Kelley | Family Medicine | 1123 Richelieu Lane, Houston, TX 77018-2019 | 2007-08-17 |
| 1477697878 | Robert O. Kelley | Counselor | 225 Lee Hook Rd, Lee, NH 03824-6415 | 2007-02-18 |
| 1588777924 | Robert D Kelley | Pharmacist | 38 E Main St, Sylva, NC 28779-3040 | 2006-08-17 |
| 1568936219 | Robert Bruce Kelley Jr. | Counselor | 34 W 2nd St, Ashland, OH 44805-2201 | 2019-01-16 |
| 1093126427 | Robert T Kelley | Family Medicine | 4650 Signal Tree Dr Ste 1200, Timnath, CO 80547-4908 | 2014-05-20 |
| 1457693947 | Robert P Kelley | Counselor | 55 Lake Ave N, Umass Memorial Medical Center, Psychiatry, Worcester, MA 01655-0002 | 2013-03-22 |
| Street Address |
20 HOPE AVE SUITE 201 |
| City | WALTHAM |
| State | MA |
| Zip Code | 20453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629126 | Megan Parker | Social Worker | 81 Fuller St, Waltham, MA 02453-5854 | 2020-11-05 |
| 1255931937 | Skylight Health Group Ma PC | Emergency Medicine | 49 River St Ste 4, Waltham, MA 02453-8345 | 2020-10-30 |
| 1760082945 | Natalie Pierpont Waggaman | Social Worker | 34 Hamilton Rd, Waltham, MA 02453-1516 | 2020-10-28 |
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1871190769 | Emma Comiskey | Speech-Language Pathologist | 210 Bear Hill Rd Ste 400, Waltham, MA 02451-1025 | 2020-10-05 |
| 1316544455 | Barbara J Doyle Counseling Services Professional LLC | Community/Behavioral Health | 20 Hope Ave Ste 107, Waltham, MA 02453-2717 | 2020-10-01 |
| 1558977645 | Victor Luu | Physician Assistant | 123 Adams St Apt 1, Waltham, MA 02453-4032 | 2020-09-23 |
| 1689280141 | Kayla May Thibault | Behavior Technician | 31 Derby St, Waltham, MA 02453-5003 | 2020-09-21 |
| 1124633565 | Center for Integrative Health | Psychologist | 231 Lowell St # 1, Waltham, MA 02453-5020 | 2020-09-12 |
| 1306450903 | Barsam Vision Care LLC | Ophthalmology | 135 Beaver St Ste 309, Waltham, MA 02452-8412 | 2020-09-02 |
| Find all providers in WALTHAM | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245856335 | Mcat LLC | Psychiatry & Neurology | 3 Brighton St, Belmont, MA 02478-4007 | 2020-06-24 |
| 1427673136 | Ronald Bugaoan Md LLC | Psychiatry & Neurology | 225 Water St Ste A140, Plymouth, MA 02360-6248 | 2020-06-09 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1083894059 | Juan R Condemarin | Psychiatry & Neurology | 129 Bigelow St, Brighton, MA 02135-1639 | 2007-11-07 |
| 1548454671 | Alfredo R Chan Md PC | Psychiatry & Neurology | 105 Webster St Ste 6, Hanover, MA 02339-1227 | 2007-08-31 |
| 1669666947 | John Dmochowski, Md PC | Psychiatry & Neurology | 31 Meltiah Rd, Falmouth, MA 02540-1843 | 2007-08-30 |
| 1306896527 | Ethan Samuel Rofman | Psychiatry & Neurology | 123 Grant Ave, Newton Centre, MA 02459-1350 | 2006-05-10 |
| 1497734768 | Laurence Evans Ducomb | Psychiatry & Neurology | 49 Robinwood Ave, The Arbour Hospital, Jamaica Plain, MA 02130 | 2006-01-13 |
| 1033103247 | Kenneth Minkoff | Psychiatry & Neurology | 100 Powdermill Rd # 319, Acton, MA 01720-5932 | 2005-09-02 |
| 1821565425 | Westborough Professional Associates, LLC | Psychiatry & Neurology | 300 Friberg Pkwy, Westborough, MA 01581-3900 | 2018-11-01 |
| Find all providers with the same taxonomy | ||||
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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.