DR. KELLY TAHANEY WEBER (NPI# 1285705509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285705509 |
| Entity Type | Individual |
| Full Name | DR. KELLY TAHANEY WEBER |
| Other Name | DR. KELLY DALE TAHANEY |
| Credential | PSYD |
| Practice Address |
300 Hebron Avenue Suite 217 Medical Arts Center Counseling Affiliates Glastonbury CT 06033 |
| Mailing Address |
174 N Quaker Lane West Hartford CT 06119 |
| Practice Telephone | 8606592697 |
| Practice Fax Number | 8606593468 |
| Mailing Telephone | 8602361695 |
| Mailing Fax Number | 8602361695 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 002358 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11518434 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568930 | Kelly Diane Weber | Social Worker | Va Behavioral Health and Wellness Center, 4600 Smith Road, Norwood, OH 45212 | 2019-09-23 |
| 1952863532 | Kelly Weber | Counselor | 4435 E Chandler Blvd Ste 200, Phoenix, AZ 85048-7651 | 2019-04-03 |
| 1598092488 | Kelly Beth Weber | Speech-Language Pathologist | 1115 Church St, Waycross, GA 31501-3560 | 2009-11-12 |
| 1265442008 | Kelly Eileen Weber | Occupational Therapist | 39 Limerick Rd, Arundel, ME 04046-8158 | 2006-08-08 |
| 1811544786 | Kelly Renee Weber | Behavior Technician | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2019-08-24 |
| 1164898847 | Kelly Schwanbeck Weber | Counselor | 1161 N El Dorado Pl Ste 103, Tucson, AZ 85715-4607 | 2015-08-17 |
| 1740507987 | Kelly Weber | Occupational Therapist | 2120 60th Ave Ne, Willmar, MN 56201-9140 | 2010-04-28 |
| Street Address |
300 HEBRON AVENUE SUITE 217 MEDICAL ARTS CENTER COUNSELING AFFILIATES |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363962 | Tyrek J Pratt LLC | Psychologist | 74 New London Tpke Ste 1, Glastonbury, CT 06033-4204 | 2020-10-16 |
| 1043723448 | Jessica Addington, Psy.d., LLC | Psychologist | 381 Hubbard St Ste 304, Glastonbury, CT 06033-5307 | 2017-11-08 |
| 1184956849 | Joanne Hutt, Ph.d., LLC | Psychologist | 2389 Main St, Glastonbury, CT 06033-4617 | 2010-02-05 |
| 1477715175 | Carmen I Santos | Psychologist | 74 New London Tpke, Suite 2, Glastonbury, CT 06033-2037 | 2008-06-25 |
| 1528183845 | Stephen Becker | Psychologist | 611 Chestnut Hill Rd, Glastonbury, CT 06033-4189 | 2007-03-20 |
| 1891887691 | Michael Bruce Pines | Psychologist | 41c New London Turnpike, Glastonbury, CT 06033-4206 | 2006-09-29 |
| 1205946076 | Clark E Allen | Psychologist | 180 Hubbard St, Glastonbury, CT 06033-3063 | 2006-08-30 |
| 1174502686 | George Geysen | Psychologist | 18 School St Ste 3, Changepoint, LLC, Glastonbury, CT 06033-4552 | 2006-01-12 |
| 1417496050 | Mark Joseph Palmieri | Psychologist | 2300 Main St, Glastonbury, CT 06033-2218 | 2017-02-15 |
| 1871039248 | Heather Flynn | Psychologist | 2300 Main St, Glastonbury, CT 06033-2218 | 2017-01-10 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
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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.