DR. SEAN F. KELLY (NPI# 1215081526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215081526 |
| Entity Type | Individual |
| Full Name | DR. SEAN F. KELLY |
| Credential | PH.D |
| Practice Address |
20 Park Plz Suite 452 Boston MA 02116-4303 |
| Mailing Address |
10 Woodland Rd Beverly MA 01915-2747 |
| Practice Telephone | 6177927479 |
| Mailing Telephone | 6177927479 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2016-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1698 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0504513 | 05 | |
| MA | BLUE SHIELD PROVIDER ID | W01759 | 01 |
| MA | TRICARE | W0175925793 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326659202 | Sean Michael Kelly | Counselor | 1407 Dellwood Dr, Louisville, KY 40216-4070 | 2020-08-13 |
| 1811510894 | Sean Kelly | Registered Nurse | 530 Virginia Dr, Lake Worth, FL 33461-5751 | 2020-05-25 |
| 1396275327 | Sean Brett Kelly | Dentist | 13590b North Meridian Street, 101, Carmel, IN 46032-1409 | 2017-06-13 |
| 1073058582 | Sean Kelly | Physician Assistant | Cmr 411 Box 2507, Apo, AE 09112-0026 | 2016-12-20 |
| 1326499088 | Sean Kelly | Internal Medicine | 2401 Laura Cir, Papillion, NE 68046-4216 | 2016-06-23 |
| 1013367069 | Sean Kelly | Psychologist | 2527 W Colorado Ave Ste 208, Colorado Springs, CO 80904-3075 | 2016-06-20 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1346660735 | Sean Kelly | Occupational Therapist | 556 Bay Rd, South Easton, MA 02375-1415 | 2014-04-24 |
| 1063851509 | Sean Michael Kelly | Internal Medicine | 606 Beech St, Township of Washington, NJ 07676-4332 | 2013-06-18 |
| 1154663607 | Sean Patrick Kelly | Orthopaedic Surgery | 55 Fruit St # 125n-260, Boston, MA 02114 | 2013-03-22 |
| Street Address |
20 PARK PLZ SUITE 452 |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690014 | Charles G Martel | Social Worker | 20 Park Plz, Ste 604, Boston, MA 02116-4319 | 2005-06-22 |
| 1437515731 | Age Management Boston | Clinic/Center | 20 Park Plz, Suite 804, Boston, MA 02116-4303 | 2016-01-04 |
| 1164540662 | James Katz | Preventive Medicine | 20 Park Plz, Suite 20, Boston, MA 02116-4303 | 2007-03-26 |
| 1407991482 | Seniorlink Incorporated | Custodial Care Facility | 20 Park Plz, Suite 920, Boston, MA 02116-4303 | 2007-02-20 |
| 1538210489 | John D Hurley | Psychologist | 20 Park Plz, Suite 608, Boston, MA 02116-4303 | 2007-01-16 |
| 1679646814 | Edwin C Holstein | Preventive Medicine | 20 Park Plz, Suite 628, Boston, MA 02116-4303 | 2006-11-16 |
| 1609898675 | Toni Delisi | Psychologist | 20 Park Plz, Suite 611, Boston, MA 02116-4303 | 2006-07-25 |
| 1720052475 | Katherine Lantsman | Internal Medicine | 20 Park Plz, 473, Boston, MA 02116-4303 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1619599594 | Bozena Forbes | Psychologist | 7 Clarkson St, Boston, MA 02125-2525 | 2020-05-13 |
| 1376189845 | Nicholas Alexander Livingston | Psychologist | 150 S Huntington Ave Rm B13-79, Boston, MA 02130-4817 | 2019-11-20 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1841844693 | Darcy Elizabeth Burgers | Psychologist | 450 Brookline Ave # Jf-736d, Boston, MA 02215-5450 | 2019-07-30 |
| 1780161091 | Andrea Knestel | Psychologist | 224 Clarendon St Ste 51, Boston, MA 02116-3793 | 2018-07-20 |
| 1386121630 | Miryam Yusufov | Psychologist | 375 Longwood Ave # Lw-603, Boston, MA 02215-5395 | 2018-07-19 |
| 1144715798 | Benjamin David Goodlett | Psychologist | 300 Longwood Ave Fegan 4 Genetics, Boston, MA 02115 | 2018-06-26 |
| 1033600887 | Lizabeth Roemer | Psychologist | 100 Morrissey Blvd Dept Of, Boston, MA 02125-3300 | 2018-05-28 |
| Find all providers in BOSTON | ||||
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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.