DR. KELLY COLEMAN (NPI# 1245721182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245721182 |
Entity Type | Individual |
Full Name | DR. KELLY COLEMAN |
Credential | PSY.D. |
Practice Address |
162 Main St Hamburg NY 14075-4917 |
Mailing Address |
115 Angle Rd West Seneca NY 14224-4365 |
Practice Telephone | 7163711995 |
Mailing Telephone | 7164323462 |
Enumeration Date | 2018-05-26 |
Last Update Date | 2019-10-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | 023269 | NY | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
023269 | NY | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1517 Main St, Niagara Falls, NY 143052521 | 7163711995 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033660089 | Kelly Coleman | Specialist/Technologist | 160 Windermere Ave Apt 4603, Ellington, CT 06029-3949 | 2016-10-14 |
1093332363 | Kelly Ann Coleman | Behavior Technician | 11450 N Meridian St Ste 100, Carmel, IN 46032-4688 | 2020-07-02 |
1053890301 | Kelly Marie Coleman | Physical Therapist | 168 Industrial Dr Unit 5, Mashpee, MA 02649-3562 | 2018-08-08 |
1497107536 | Kelly J Coleman | Nurse Practitioner | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2016-07-12 |
1174980437 | Kelly Coleman | Clinical Nurse Specialist | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757 | 2016-01-18 |
1629395454 | Kelly Marcus Coleman | Anesthesiology | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 | 2010-05-04 |
1407189756 | Kelly K Coleman | Psychologist | 801 Broadway, Suite 800, Seattle, WA 98122-4396 | 2009-09-17 |
1760635122 | Kelly Lynn Coleman | Physical Therapist | 250 Hospital Pkwy, San Jose, CA 95119-1103 | 2008-10-29 |
1982863353 | Kelly Alan Coleman | Physical Therapist | 1342 E Primrose Street, Suite A, Springfield, MO 65804-4224 | 2008-06-02 |
1396929865 | Kelly Ann Coleman | Counselor | 1460 Livingston Ave, North Brunswick, NJ 08902-1873 | 2007-12-20 |
Street Address |
162 MAIN ST |
City | HAMBURG |
State | NY |
Zip Code | 14075-4917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053928275 | Victoria L Clinch | Student in an Organized Health Care Education/Training Program | 162 Main St, Hamburg, NY 14075-4917 | 2020-09-30 |
1003438276 | Sarah Marie Fronczak | Student in an Organized Health Care Education/Training Program | 162 Main St, Hamburg, NY 14075-4917 | 2020-05-11 |
1750843439 | Kamrie E Gademske | Speech-Language Pathologist | 162 Main St, Hamburg, NY 14075-4917 | 2019-04-02 |
1487032702 | Kathleen S Kubera Lcsw Pllc | Clinic/Center | 162 Main St, Hamburg, NY 14075-4917 | 2015-05-07 |
1538478961 | Kathleen Kubera | Social Worker | 162 Main St, Hamburg, NY 14075-4917 | 2010-10-04 |
1265560627 | Linda A Abrams | Social Worker | 162 Main St, Hamburg, NY 14075-4917 | 2007-02-28 |
1205998218 | Susan I Blumenthal | Social Worker | 162 Main St, Hamburg, NY 14075-4917 | 2006-12-15 |
1114010022 | Sandy J Ulrich | Massage Therapist | 162 Main St, Hamburg, NY 14075-4917 | 2006-10-02 |
1558469346 | Constance Ann Gulino | Social Worker | 162 Main St, Hamburg, NY 14075-4917 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538781281 | Devan Fischer | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Woods Road, Hamburg, NY 14075 | 2020-05-15 |
1417590746 | Jackson Mar | Counselor | 140 Pine St., Hamburg, NY 14075 | 2019-10-18 |
1831666122 | Andrea Lynn Baron | Physician Assistant | 5022 Morgan Parkway, Hamburg, NY 14075 | 2018-10-25 |
1164905584 | Michael Grundtisch | Physical Therapist | 5284 Briercliff Drive, Hamburg, NY 14075 | 2018-09-11 |
1629571187 | Dawn Rydzynski | Counselor | 140 Pin St, Hamburg, NY 14075 | 2018-03-12 |
1760990873 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 4901 Camp Rd. Suite 100, Buffalo Orthopaedic Group, LLP, Hamburg, NY 14075 | 2018-01-11 |
1821500562 | Theresa M Tripi | Counselor | 140 Pin Street, Hamburg, NY 14075 | 2017-11-03 |
1831548841 | Mary Coble | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Road, Hamburg, NY 14075 | 2016-06-09 |
1700287737 | Jessica Schreiner | Occupational Therapist | 6490-17 Taylor Rd, Hamburg, NY 14075 | 2014-09-09 |
1235576976 | Christina Lowman | Dietitian, Registered | 4535 Southwestern Blvd Suite 804a, Southtowns Medical and Professional Park, Hamburg, NY 14075 | 2013-06-03 |
Find all providers in zip 14075 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174934756 | Tree House Therapy Services, LLC | Psychologist | 225 Route 23n, Suite 2b, Hamburg, NJ 07419 | 2014-05-16 |
1285656488 | Kimberly Franklin | Psychologist | 84 Lake St, Hamburg, NY 14075-4834 | 2006-07-24 |
1265840441 | Lysandra M Perez-strumolo | Psychologist | 225 Route 23 North, Suite 2b, Hamburg, NJ 07419 | 2014-07-31 |
1992116008 | Gina Adone | Psychologist | 225 Route 23 North, Suite 2b, Hamburg, NJ 07419 | 2014-05-12 |
1316099096 | Robert S Zam | Psychologist | 46 Main Street, Hamburg, NY 14075 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
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.