KELLY COLLABORATIVE CARE, INC (NPI# 1124349998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124349998 |
| Entity Type | Organization |
| Organization Name | KELLY COLLABORATIVE CARE, INC |
| Practice Address |
616 Route 6a Dennis MA 02638-1906 |
| Mailing Address |
180 Old Red Top Rd Brewster MA 02631-2370 |
| Practice Telephone | 7734877647 |
| Mailing Telephone | 7744877647 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-12-13 |
| Authorized Official Name | MARY HETTICH-KELLY (OWNER) |
| Authorized Official Telephone | 7744877647 |
| Authorized Official Credential | FNP-BC, RNCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
197116 | MA | Behavioral Health & Social Service Providers |
| Street Address |
616 ROUTE 6A |
| City | DENNIS |
| State | MA |
| Zip Code | 02638-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942395843 | Marie Bridget Vallely | Clinical Nurse Specialist | 113 Seaside Ave, Dennis, MA 02638 | 2006-10-04 |
| 1881607174 | Singleton Chiropractic Offices, PC | Chiropractor | 632 Main Street, Route 6a, Dennis, MA 02638 | 2006-08-15 |
| 1396077764 | Julie Michelle Sieben | Chiropractor | 632 Main St, Dennis, MA 02638 | 2010-02-09 |
| 1942325840 | Megan Kathleen Pettit | Marriage & Family Therapist | 632 Route 6a, Dennis, MA 02638 | 2007-03-20 |
| 1861530388 | James Gilbert Carnathan | Psychologist | 811 Main St, Dennis, MA 02638 | 2007-02-05 |
| 1518085521 | Frank Alden Dahlstrom | Dentist | 811 Main St., Dennis, MA 02638-0985 | 2007-03-27 |
| 1578612503 | Robert A Creeden Dmd PC | Dentist | 811 Main Street, Dennis, MA 02638-0985 | 2007-01-09 |
| 1912124926 | Frank A Dahlstrom,dmd,pc. | Dentist | 811 Main St, Dennis, MA 02638-0985 | 2007-04-19 |
| 1821142423 | Chien-ching Juan | Dentist | 800 Main St, Dennis, MA 02638-1904 | 2007-01-22 |
| 1396762092 | Chien-ching Juan, D.m.d., P.C. | Dentist | 800 Main St, Dennis, MA 02638-1904 | 2006-07-17 |
| Find all providers in zip 02638 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678222 | Elaine Walker | Counselor | 608 Highland Ave, Malden, MA 02148-2426 | 2020-11-01 |
| 1033719364 | Larry Quemere | Counselor | 18 Columbia Rd, Pembroke, MA 02359-1895 | 2020-10-27 |
| 1275147506 | Tamara Nixon | Counselor | 98 Pebble Ln, N Falmouth, MA 02556-2123 | 2020-09-03 |
| 1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
| 1538789649 | Catherine G. Mueller-bell | Counselor | 525 Mattakeesett St, Pembroke, MA 02359-2918 | 2020-04-18 |
| 1962032144 | Samantha Kassandra Deveau | Counselor | 5110 Washington St Apt 6, West Roxbury, MA 02132-5212 | 2020-01-16 |
| 1982247318 | Taryn Reynolds | Counselor | 463 Worcester Rd Ste 406, Framingham, MA 01701-5354 | 2019-10-17 |
| 1952943284 | Sagamore Counseling | Counselor | 345 Old Plymouth Rd, Sagamore Beach, MA 02562-2304 | 2019-10-08 |
| 1366008617 | Couples Therapy Inc. | Counselor | 204 Arsenal St, Watertown, MA 02472-2781 | 2019-05-13 |
| 1457916264 | Heather E Revill | Counselor | 98 Fair Dr, Somerset, MA 02726-5926 | 2019-05-07 |
| 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.