KELLY COPELAND


Address: 1200 High Ridge Rd, Stamford, CT 06905-1223
Phone: 2035391033

KELLY COPELAND (NPI# 1144869884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144869884
Entity Type Individual
Full Name KELLY COPELAND
Credential PSYD
Practice Address 1200 High Ridge Rd
Stamford
CT 06905-1223
Mailing Address 36 Ridge Brook Ln
Stamford
CT 06903-1239
Practice Telephone 2035391033
Mailing Telephone 5852453900
Enumeration Date 2019-12-28
Last Update Date 2019-12-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 3704 CT Behavioral Health & Social Service Providers

Other Providers KELLY COPELAND

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1154816080 Kelly Copeland Pharmacist 10825 Weather Vane Rd, Henrico, VA 23238-4157 2018-06-23
1760940746 Kelly Marie Copeland Nurse Practitioner 2230 Bryan Pl Ste 200, Midlothian, TX 76065-7148 2019-03-07
1114417987 Kelly Copeland Speech-Language Pathologist 5401 Lawndale Dr, Greensboro, NC 27455-2127 2018-05-16
1376930164 Kelly Copeland Student in an Organized Health Care Education/Training Program 395 W 12th Ave, 5th Floor, Columbus, OH 43210-1267 2015-04-20
1457741621 Kelly Copeland Nurse Practitioner 2825 N Kansas Expy, Springfield, MO 65803 2015-01-27
1083055388 Kelly K. Copeland Counselor 85-979 Mill St, Waianae, HI 96792-2645 2013-07-15

Office Location

Street Address 1200 HIGH RIDGE RD
City STAMFORD
State CT
Zip Code 06905-1223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922113588 Scott R Bender Chiropractor 1200 High Ridge Rd, Stamford, CT 06905-1223 2006-08-21
1326645979 Marsha A. Techeira, Lmft, LLC Marriage & Family Therapist 1200 High Ridge Rd, Stamford, CT 06905-1223 2020-10-07
1619507894 Caitlin Elizabeth Nesi Occupational Therapist 1200 High Ridge Rd, Stamford, CT 06905-1223 2020-01-16
1427695220 Anna Diamantis, Lpc, Pllc Clinic/Center 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-11-30
1205472925 Hrkservices Pllc Social Worker 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-11-19
1346883386 Shannon Renzulli Counselor 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-10-22
1821640327 Sindhu Ashok Nurse Practitioner 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-07-15
1508422940 Sian S James Acupuncturist 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-05-10
1619432408 Rachel H Leslie Marriage & Family Therapist 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-02-05
1770925018 Amanda Gail Whitacre Psychologist 1200 High Ridge Rd, Stamford, CT 06905-1223 2013-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396367272 Smartport LLC Non-emergency Medical Transport (VAN) C/o Mollo, 1111 Summer St, Stamford, CT 06905 2020-05-13
1245889096 Anna Diamantis Counselor 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 2019-09-04
1871150409 Connecticut Anesthesia Associates LLC Anesthesiology 1177 High Ridge Road, Stamford, CT 06905 2019-05-20
1518447887 Alexandra Petrov Lactation Consultant, Non-RN 42 Riverside Ave, Stamford, CT 06905 2018-08-16
1235640327 A&s Chemists LLC Pharmacy 910 Summer Ave, Stamford, CT 06905 2017-10-17
1659805117 Evolution Physical Therapy, LLC Clinic/Center 7 Reynolds Ave, Stamford, CT 06905 2017-04-11
1326587841 Karen Poggi Speech-Language Pathologist 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 2017-02-16
1811434871 Christina Skuburids, LLC Point of Service 2043 Bedford Street, Stamford, CT 06905 2017-01-27
1669833513 Christian Alvarez Occupational Therapist 15 First St Unit 1, Stamford, CT 06905 2016-03-18
1932500915 Emily Krol Psychologist 29 Yale Court, Stamford, CT 06905 2014-09-10
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972811040 Irma Sue Van Dam Psychologist 32 Barnes Rd W, Stamford, CT 06902-1243 2010-09-22
1497073118 Tamasine C Greig Psychologist 162 5th St, Stamford, CT 06905-4004 2010-05-05
1245473503 Jessica Welt-betensky Psychologist 2009 Summer St Ste 202, Stamford, CT 06905-5023 2009-04-15
1871738070 Mary Margaret Drought Psychologist 91 Ledge Ln, Stamford, CT 06905-3321 2008-12-03
1487807350 Kimberly Elizabeth Pasley Psychologist 99 Knapp St, Stamford, CT 06907-1731 2008-10-23
1679799878 Richard Ira Sternberg Psychologist 22 Fifth Street, The Penthouse, Stamford, CT 06905-5030 2007-04-17
1851514566 Robert Keith Schechter Psychologist 10 Selby Pl, Stamford, CT 06907-2432 2007-04-11
1164594065 Family Life Psychological Services PC Psychologist 106 Gun Club Road, Stamford, CT 06903-1024 2006-11-15
1629168596 Mary Elizabeth Siegel Psychologist 363 Ocean Dr W, Stamford, CT 06902-8222 2006-10-13
1245327220 Leslie Raymond Freedman Psychologist 2009 Summer St, Suite 202, Stamford, CT 06905-5023 2006-10-09
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Competitor

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City STAMFORD
Zip Code 06905

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Dataset Information

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.

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