DR. BRIAN J KELLY (NPI# 1235494774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235494774 |
| Entity Type | Individual |
| Full Name | DR. BRIAN J KELLY |
| Credential | PH.D. |
| Practice Address |
180 North Street Auburn NY 13021-1811 |
| Practice Telephone | 3152552285 |
| Mailing Telephone | 3152552285 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2013-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
020001 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649763368 | Brian Kelly | Dentist | 9134 Middlebelt Rd, Livonia, MI 48150-4035 | 2018-06-07 |
| 1801330436 | Brian Kelly | Social Worker | 240 Kensington Ln, Austin, TX 78737-4505 | 2016-12-16 |
| 1588093207 | Brian Kelly | Physical Therapist | 2801 Quebec St Nw Apt 548, Washington, DC 20008-6249 | 2013-11-04 |
| 1871810754 | Brian John Kelly | Psychiatry & Neurology | 47547 Coldspring Pl, Sterling, VA 20165-7446 | 2010-04-30 |
| 1073695953 | Brian M Kelly | Physical Medicine & Rehabilitation | 2850 S Industrial Hwy Ste 400, Ann Arbor, MI 48104-6796 | 2006-10-19 |
| 1396857892 | Brian G Kelly | Obstetrics & Gynecology | 25959 Kelly Road, Suite B, Roseville, MI 48066 | 2006-08-31 |
| 1376653451 | Brian Michael Kelly | Physical Therapist | 8228 Brentwood Industrial Dr, Saint Louis, MO 63144-2815 | 2006-08-30 |
| 1275550717 | Brian J. Kelly | Pediatrics | 11365 Dorsett Rd., Maryland Heights, MO 63043 | 2006-07-17 |
| 1811971666 | Brian P Kelly | Physical Therapist | 415 Crosslake Dr Ste B, Evansville, IN 47715 | 2005-12-05 |
| 1386286219 | Brian James Kelly | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-10-11 |
| Street Address |
180 NORTH STREET |
| City | AUBURN |
| State | NY |
| Zip Code | 13021-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073674362 | Neta E Dodson | Licensed Practical Nurse | 180 North Street, Auburn, NY 13021 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631078 | Anthony Marino | Counselor | 319 Water St, Syacuse, NY 13021 | 2019-10-21 |
| 1205343811 | Cayuga County Community Health Network, Inc. | Community/Behavioral Health | 2119 W Genesee Street Rd, Auburn, NY 13021 | 2018-01-04 |
| 1427570365 | Sara K Gatewood | Licensed Practical Nurse | 124 Dawson Ave, Auburn, NY 13021 | 2017-07-12 |
| 1407385867 | Trisha Lee South | Registered Nurse | 278 Seymour St, Auburn, NY 13021 | 2017-06-08 |
| 1093263782 | Elizabeth Michelle Smith | Licensed Practical Nurse | 64 Cottage Street, Auburn, NY 13021 | 2016-09-12 |
| 1710360649 | Podiatry Services of Central New York, PC | Podiatrist | 171 Grant Ave, Auburn, NY 13021 | 2015-07-09 |
| 1518361484 | Edward J Currier | Counselor | 34 Wright Ave, Auburn, NY 13021 | 2014-10-21 |
| 1821499815 | Betsi Algar | Licensed Practical Nurse | 22 Scammell Ave, Auburn, NY 13021 | 2014-09-09 |
| 1235554734 | Jodi Saurini | Licensed Practical Nurse | 31 Anderson Circle, Auburn, NY 13021 | 2014-02-20 |
| 1124459896 | Bridget Reilly | Clinic/Center | 210 South Hoopes Ave, Auburn, NY 13021 | 2013-12-06 |
| Find all providers in zip 13021 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366991119 | Brooke Nowak | Psychologist | 528 E University Dr, Auburn, AL 36830-6850 | 2016-09-21 |
| 1861701328 | Kim Roth | Psychologist | 89 Partridge Ln, Auburn, ME 04210-8636 | 2010-10-01 |
| 1487896346 | Annette S. Kluck | Psychologist | 2084 Haley Ctr, Auburn, AL 36849-0001 | 2009-03-24 |
| 1891990669 | Kellie C Pope | Psychologist | 1742 Denali Ct, Auburn, AL 36832-5103 | 2007-06-20 |
| 1982228565 | Victor Garlock | Psychologist | 1 Hoffman St, Auburn, NY 13021-2157 | 2020-05-30 |
| 1073150884 | Hunter Clinical Consulting, LLC | Psychologist | 311 N College St, Auburn, AL 36830-3814 | 2019-11-30 |
| 1629441845 | Evelyn A Hunter | Psychologist | 311 N College St, Auburn, AL 36830-3814 | 2015-11-10 |
| 1982894044 | Richard Wallace Washburn | Psychologist | 515 M St Ne, Auburn, WA 98002-4422 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484151 | Fred Ronald Waxenberg | Psychologist | 3001 Hewlett Ave, Merrick, NY 11566-5312 | 2020-10-16 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1699384495 | Illumination Psychology Pllc | Psychologist | 88 Terry Rd Ste 106, Smithtown, NY 11787-3811 | 2020-07-28 |
| 1881212140 | Elizabeth Wilen-berg | Psychologist | 308 W 103rd St Apt 8d, New York, NY 10025-4463 | 2020-07-13 |
| 1396361747 | Jeanna Pagnotta | Psychologist | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | 2020-06-22 |
| 1376167544 | Amelio A D'onofrio | Psychologist | 58 E 79th St Fl 4f, New York, NY 10075-0221 | 2020-06-03 |
| 1114540648 | Alexandra Lerner | Psychologist | 10 Whitetail Dr, Ithaca, NY 14850-9458 | 2020-05-19 |
| 1386265882 | Abba Human Services Foundation, Inc | Psychologist | 10 Schriever Ln Ste B, New City, NY 10956-3314 | 2020-05-06 |
| 1750911160 | Julie Herman Hirschfeld | Psychologist | 575 West End Ave. Gr-a-3, New York, NY 10024-2711 | 2020-01-24 |
| 1588204093 | Rebecca Frances Reed | Psychologist | 1 City Pl Apt 610, White Plains, NY 10601-3334 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
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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.