DR. KELLY ANNE CONSTANT BHATNAGAR (NPI# 1154453231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154453231 |
| Entity Type | Individual |
| Full Name | DR. KELLY ANNE CONSTANT BHATNAGAR |
| Credential | PH.D. |
| Practice Address |
3659 Green Rd Ste 102 Beachwood OH 44122-5715 |
| Practice Telephone | 2162336404 |
| Mailing Telephone | 2162336404 |
| Mailing Fax Number | 2167650521 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
3681 | CO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6891 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25550 Chagrin Blvd, Suite 200, Beachwood, OH 441225638 | 2167650500 | 2167650521 |
| Street Address |
3659 GREEN RD STE 102 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550338 | Center for Emotional Wellness | Psychologist | 3659 Green Rd Ste 102, Beachwood, OH 44122-5715 | 2020-08-28 |
| 1639444847 | Stephanie A. Konesky | Counselor | 3659 Green Rd Ste 102, Beachwood, OH 44122-5715 | 2012-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180782 | Constructive Alternatives, LLC | Psychologist | 24300 Chagrin Blvd Ste 309, Beachwood, OH 44122-5629 | 2020-07-03 |
| 1396207536 | Aarti Pyati | Psychologist | 21403 Chagrin Blvd., Suite 110, Beachwood, OH 44122-5307 | 2019-04-05 |
| 1932674520 | Talla Azem | Psychologist | 3690 Orange Pl Ste 430, Beachwood, OH 44122-4467 | 2018-10-10 |
| 1679059760 | Jeffrey Rindsberg | Psychologist | 25200 Chagrin Blvd Ste 105, Beachwood, OH 44122-5681 | 2018-07-12 |
| 1225412257 | Talia Master, Psy.d., LLC | Psychologist | 21403 Chagrin Blvd Ste 117, Beachwood, OH 44122-5322 | 2015-07-20 |
| 1689067720 | Daniel Fishman | Psychologist | 29525 Chagrin Blvd Ste 380, Beachwood, OH 44122-4601 | 2015-03-13 |
| 1316102510 | Jill C. Baird | Psychologist | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2008-07-28 |
| 1871716449 | Elayne P Baumgart | Psychologist | 3937 W Meadow Ln, Beachwood, OH 44122-4720 | 2007-04-11 |
| 1619038445 | Audrey Curran | Psychologist | 27020 Cedar, 109, Beachwood, OH 44122 | 2006-12-13 |
| 1295803476 | Nicole S Wagner | Psychologist | 29525 Chagrin Blvd Ste 313, Beachwood, OH 44122 | 2006-12-04 |
| Find all providers in BEACHWOOD | ||||
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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.