MICHAEL R. KELLEY (NPI# 1376542639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376542639 |
| Entity Type | Individual |
| Full Name | MICHAEL R. KELLEY |
| Credential | PH.D. |
| Practice Address |
10506 Burt Cir Omaha NE 68114-2094 |
| Practice Telephone | 4024934444 |
| Mailing Telephone | 4024934444 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
34 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 470714645-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669934907 | Michael Francis Kelley Jr. | Student in an Organized Health Care Education/Training Program | 4833 Ithaca St, Metairie, LA 70006-2617 | 2019-04-04 |
| 1588164826 | Michael L Kelley | Registered Nurse | 7760 Margerum Ave Unit 224, San Diego, CA 92120-1441 | 2018-02-13 |
| 1912174731 | Michael Jason Kelley | Radiologic Technologist | 1209 Heatherview Dr, Oak Park, CA 91377-3914 | 2008-05-12 |
| 1053492397 | Michael E Kelley | Psychologist | 150 W University Blvd, Melbourne, FL 32901-6982 | 2006-10-17 |
| 1649351933 | Michael O'hara Kelley | Marriage & Family Therapist | 690 W Fremont Ave Ste 6, Sunnyvale, CA 94087-4202 | 2006-10-17 |
| 1316053770 | Michael Gaylor Kelley | Dentist | 6296 Rucker Rd, Ste A, Indianapolis, IN 46220-4852 | 2006-08-21 |
| 1558324368 | Michael Ryan Kelley | Optometrist | 2936 E 79th Ave, Merrillville, IN 46410-5748 | 2006-04-11 |
| 1790763704 | Michael Fredrick Kelley | Preventive Medicine | 3009a Highway 30 W, Huntsville, TX 77340-3517 | 2006-01-09 |
| 1306822812 | Michael Timothy Kelley | Preventive Medicine | 1166 Dublin Rd, Suite 400, Columbus, OH 43215-1030 | 2005-12-16 |
| 1265071823 | Michael Dale Kelley | Nurse Practitioner | 129 8th Ave Se, Oelwein, IA 50662-2352 | 2019-12-31 |
| Street Address |
10506 BURT CIR |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-2094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851829154 | Angelina M Giles | Nurse Practitioner | 10506 Burt Cir, Omaha, NE 68114-2094 | 2017-05-31 |
| 1053853739 | Gary J Anthone Md Inc | Surgery | 10506 Burt Cir, Omaha, NE 68114-2094 | 2016-11-10 |
| 1659625929 | Spirit Homecare, LLC | Home Health | 10506 Burt Cir, Omaha, NE 68114-2094 | 2012-11-07 |
| 1497051015 | Sancta Familia Health Associates LLC | Pediatrics | 10506 Burt Cir, Omaha, NE 68114-2094 | 2011-01-28 |
| 1336475656 | Caroline G. Sedlacek, Ph.d., P.C. | Psychologist | 10506 Burt Cir, Omaha, NE 68114-2094 | 2009-10-21 |
| 1275761868 | Geraldine Nesvan M.a.p.c. | Psychologist | 10506 Burt Cir, Omaha, NE 68114-2094 | 2009-06-23 |
| 1366638603 | Bryan Thomas Voithofer | Chiropractor | 10506 Burt Cir, Omaha, NE 68114-2094 | 2007-09-20 |
| 1740403211 | Terry A Davis | Psychiatry & Neurology | 10506 Burt Cir, Omaha, NE 68114-2094 | 2007-04-11 |
| 1063568756 | Geraldine A Nesvan | Psychologist | 10506 Burt Cir, Omaha, NE 68114-2094 | 2007-01-26 |
| 1417007162 | Lloyd Arthur Pierre Jr. | Family Medicine | 10506 Burt Cir, Omaha, NE 68114-2094 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695061 | True Counseling & Psychological Services, LLC | Psychologist | 3610 N 163rd Plz Ste 208, Omaha, NE 68116-2164 | 2020-03-25 |
| 1851853733 | Cynthia S Topf, Phd | Psychologist | 2933 S 120th St, Omaha, NE 68144-4310 | 2019-04-01 |
| 1720596026 | Sarah Hoff | Psychologist | 11414 W Center Rd Ste 243, Omaha, NE 68144-4487 | 2018-01-21 |
| 1881149631 | Agnes Mariann Stairs | Psychologist | Specialty Services Pavilion Rm 5014, 984185 Nebraska Medical Center, Omaha, NE 68198-4185 | 2016-08-22 |
| 1801292321 | Complete Behavioral Health | Psychologist | 5414 S 99th St, Omaha, NE 68127-3214 | 2014-11-11 |
| 1871939934 | Kari R. Perez, Ph.d., P.C. | Psychologist | 4565 S. 133rd St., Omaha, NE 68137 | 2013-05-16 |
| 1255634531 | Thurman Psychological LLC | Psychologist | 6818 Grover St., Ste. 305, Omaha, NE 68106 | 2010-12-08 |
| 1114240553 | Emily R. Campbell | Psychologist | 4611 S 96th St Ste 177, Omaha, NE 68127-1232 | 2010-03-11 |
| 1669621678 | Stankus Psychological Services P.C. | Psychologist | 1941 So 42nd St, #524, Omaha, NE 68105-2945 | 2008-09-15 |
| 1306011705 | Wicks Psychological Services, Inc. | Psychologist | 6550 S 84th St, Suite 300, Omaha, NE 68127-4194 | 2008-04-25 |
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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.