DEBBI RAE KOOYMAN KELLEY (NPI# 1194820357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194820357 |
| Entity Type | Individual |
| Full Name | DEBBI RAE KOOYMAN KELLEY |
| Credential | PSY.D. |
| Practice Address |
5500 E Atherton St Ste 416 Long Beach CA 90815-4023 |
| Practice Telephone | 5624931496 |
| Practice Fax Number | 5624932092 |
| Mailing Telephone | 7142250815 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY20091 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5500 E ATHERTON ST STE 416 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427065267 | Sylvia Ann Hernandez | Dietitian, Registered | 5500 E Atherton St Ste 416, Long Beach, CA 90815-4023 | 2006-08-02 |
| 1790895142 | Amy Elizabeth Lipeles | Social Worker | 5500 E Atherton St Ste 416, Long Beach, CA 90815-4023 | 2006-08-30 |
| 1831207851 | Sharon L. Loeschen | Social Worker | 5500 E Atherton St Ste 416, Long Beach, CA 90815-4023 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154791 | Eric Houston | Psychologist | 3906 Hathaway Ave, Long Beach, CA 90815-5125 | 2020-05-06 |
| 1003448218 | Julie Goalwin, Ph.d. A Psychological Corporation | Psychologist | 115 Pine Ave Ste 640, Long Beach, CA 90802-4452 | 2020-02-05 |
| 1730654401 | Nicholas Brown | Psychologist | 5901 E. 7th Street (06/116b), Long Beach, CA 90822 | 2018-10-09 |
| 1194208983 | Tiffany Danielle Sickler | Psychologist | 4201 Long Beach Blvd Ste 409, Long Beach, CA 90807-2022 | 2018-09-08 |
| 1639656036 | Heights Wellness, Inc | Psychologist | 440 Redondo Ave Ste 104, Long Beach, CA 90814-5144 | 2018-07-27 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1699135558 | Margo Frost Watson | Psychologist | 270 San Remo Dr, Long Beach, CA 90803-3620 | 2016-03-04 |
| 1336506997 | Heights Center for Counseling and Wellness, Inc | Psychologist | 440 Redondo Ave Ste 103, Long Beach, CA 90814-5143 | 2016-01-26 |
| 1619373008 | Corina Reyes Lopez | Psychologist | 5901 E 7th St # 6116b, Long Beach, CA 90822-5201 | 2014-11-12 |
| 1841695129 | Sherri Nielsen | Psychologist | 1539 Harbor Ave, Long Beach, CA 90813-1322 | 2014-10-28 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on DEBBI RAE KOOYMAN KELLEY.
| 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.