PATRICIA L KELLY (NPI# 1194924530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194924530 |
| Entity Type | Individual |
| Full Name | PATRICIA L KELLY |
| Credential | M.D. |
| Practice Address |
2305 Matthew Ave Nw Albuquerque NM 87104-3214 |
| Mailing Address |
Po Box 27746 Albuquerque NM 87125-7746 |
| Practice Telephone | 5054631228 |
| Practice Fax Number | 5052433921 |
| Mailing Telephone | 5054631228 |
| Mailing Fax Number | 5052433921 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2013-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
98-302 | NM | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
41064 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575186 | Patricia Kelly | Physical Therapist | 128 Hampton Dr, Berkeley Heights, NJ 07922-2527 | 2018-04-20 |
| 1861842908 | Patricia Kelly | Registered Nurse | 9649 Covemeadow Dr, Dallas, TX 75238-1819 | 2016-06-20 |
| 1124498530 | Patricia Kelly | Registered Nurse | 65 Carman Rd, Scarsdale, NY 10583-6326 | 2015-09-28 |
| 1568729473 | Patricia Kelly | Social Worker | 6940 N Keating Ave, Lincolnwood, IL 60712-2408 | 2012-04-16 |
| 1366759532 | Patricia Kelly | Licensed Vocational Nurse | 27 Clinton Rd, Garden City, NY 11530-6338 | 2010-09-08 |
| 1306080676 | Patricia Ann Kelly | Licensed Practical Nurse | 114 Parsons Rd, Camillus, NY 13031-2144 | 2009-04-29 |
| 1023217098 | Patricia Marie Kelly | Specialist | 66 Oak Dr, Calverton, NY 11933-1100 | 2007-07-11 |
| 1659438976 | Patricia Elizabeth Kelly | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2324 | 2007-01-03 |
| 1568535045 | Patricia Kelly | Speech-Language Pathologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2006-11-15 |
| 1215015409 | Patricia Ann Kelly | Nurse Practitioner | 5 4th Ave. E, Polson, MT 59860 | 2006-11-02 |
| Street Address |
2305 MATTHEW AVE NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87104-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839639 | Alicia Lovato | Pharmacist | 1731 Towner Ave Nw, Albuquerque, NM 87104 | 2017-09-05 |
| 1649650797 | Anna Marie L Dinallo | Counselor | 1602 Escalante Ave, Albuquerque L, NM 87104 | 2015-06-04 |
| 1487057246 | Larry Steve Archuleta Sr. Sr. | Counselor | 1611 Central Nw, Alb., NM 87104 | 2014-10-07 |
| 1386072866 | Bridges | Day Training, Developmentally Disabled Services | 1509 Los Jardines Place, Albuquerque, NM 87104 | 2013-10-22 |
| 1275974792 | Mary R. Gomez | Counselor | 1611 Central Ave. Nw, Albuq, NM 87104 | 2013-07-12 |
| 1861727992 | Corrianne H Broner | Counselor | 1208 Claire Court Nw, Albuquerque, NM 87104 | 2009-10-07 |
| 1578711545 | Raymond Louis Zoumar | Anesthesiology | 2312 Campbell Rd Nw, Albuquerque, NM 87104 | 2008-09-03 |
| 1972785756 | Rochelle Young | Counselor | 1316- A Granite Ave. Nw, Albuquerque, NM 87104 | 2007-12-03 |
| 1023134699 | Elizabeth Anne Ferrell | Dental Hygienist | 400 San Felipe Nw, Suite F, Albuquerque, NM 87104 | 2007-03-22 |
| 1366566705 | Abq Home Health Care Inc. | Home Health | 1600 Lomas Blvd Nw, Suite B, Albuquerque, NM 87104 | 2007-03-19 |
| Find all providers in zip 87104 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982219499 | Chrysalis Healthcare LLC | Psychiatry & Neurology | 2632 Mesilla St Ne Ste 6, Albuquerque, NM 87110-3614 | 2020-09-11 |
| 1922646595 | Psychogenesis LLC | Psychiatry & Neurology | 3900 Eubank Blvd Ne Ste 18, Albuquerque, NM 87111-3427 | 2019-12-14 |
| 1134515737 | Amanda S Valone | Psychiatry & Neurology | 1501 San Pedro Dr Se Rm 145, Albuquerque, NM 87108-5180 | 2015-04-09 |
| 1932514288 | Christine M Clark | Psychiatry & Neurology | 1 University of New Mexico # 95030, Albuquerque, NM 87131-0001 | 2014-06-25 |
| 1790105369 | Monique Elise Ethne Simpson | Psychiatry & Neurology | 320 Gold Ave Sw Ste 1001, Albuquerque, NM 87102-3228 | 2014-04-22 |
| 1386083368 | Jeannette Elizabeth Ferguson | Psychiatry & Neurology | Child Psychiatric Center 1001 Yale Blvd Ne, Albuquerque, NM 87131 | 2013-06-23 |
| 1245573476 | Dyani Loo | Psychiatry & Neurology | Msc 09 5030 University of New Mexico, Albuquerque, NM 87131 | 2013-04-06 |
| 1346528866 | Christie Anne Cline | Psychiatry & Neurology | 8905 Osuna Rd Ne, Albuquerque, NM 87111-2139 | 2011-08-01 |
| 1083904023 | Nina E Higgins | Psychiatry & Neurology | Msc 09 5030 1 University of New Mexico, Albuquerque, NM 87131 | 2011-04-11 |
| 1003111873 | Melissa A Merhege | Psychiatry & Neurology | 500 Walter St Ne Ste 213, Albuquerque, NM 87102 | 2011-01-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87104 |
Please comment or provide details below to improve the information on PATRICIA L KELLY.
| 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.