DR. KELLY ELIZABETH DVORIN (NPI# 1336277524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336277524 |
| Entity Type | Individual |
| Full Name | DR. KELLY ELIZABETH DVORIN |
| Credential | PSY.D. |
| Practice Address |
55 North Rd Ste 220b Bedford MA 01730-1078 |
| Practice Telephone | 9787359675 |
| Mailing Telephone | 9787359675 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
9816 | MA | Behavioral Health & Social Service Providers |
| Street Address |
55 NORTH RD STE 220B |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524337 | T Psychological Services Professional LLC | Psychologist | 305 Avalon Dr, Bedford, MA 01730-2067 | 2020-10-01 |
| 1558744367 | Victoria E Ameral | Psychologist | 200 Springs Rd Bldg 5, Bedford, MA 01730-1114 | 2015-06-30 |
| 1366785461 | Sharmila Bandyopadhyay Mehta | Psychologist | 4202 Thompson Farm, Bedford, MA 01730-1492 | 2013-03-27 |
| 1164771689 | Natasha Haughton | Psychologist | 172 Route 101 Ste 26, Bedford, NH 03110-5416 | 2012-08-29 |
| 1174897672 | Michele Waldron | Psychologist | 55 North Rd Suite 220, Bedford, MA 01730-6103 | 2012-03-01 |
| 1619172335 | Alexandra Stone, Phd | Psychologist | 26 Village Grn Ste 9, Bedford, NY 10506-1245 | 2007-06-21 |
| 1134253198 | Leslie Marie Faris | Psychologist | 1100 Airport Fwy Ste 202, Bedford, TX 76022-6659 | 2007-03-14 |
| 1104974377 | Terry Lynne Walters | Psychologist | 517 Harwood Rd Ste 102, Bedford, TX 76021-4109 | 2007-01-06 |
| 1821165184 | Alexis E Hunt | Psychologist | 43 North Rd, Bedford, MA 01730 | 2006-11-29 |
| 1336228899 | Karl J Toews | Psychologist | 304 Avalon Dr, Bedford, MA 01730-2067 | 2006-11-03 |
| Find all providers in BEDFORD | ||||
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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.