DR. KELSEY MORAN (NPI# 1417401951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417401951 |
| Entity Type | Individual |
| Full Name | DR. KELSEY MORAN |
| Practice Address |
1 College Street Box D Worcester MA 01610 |
| Practice Telephone | 5087933363 |
| Mailing Telephone | 5087933363 |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
10917 | NE | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 1745 | RI | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 11059 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONBILLING | 1417401951 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699264028 | Kelsey Olson Moran | Counselor | 1325 Wright Ave Ste D, Crowley, LA 70526-2226 | 2018-05-01 |
| 1750590287 | Kelsey J. Moran | Radiology | 615 Valley View Dr., Suite 202, Moline, IL 61265-6180 | 2007-05-22 |
| Street Address |
1 COLLEGE STREET BOX D |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| 1508042144 | Kathleen Tamilo-awed | Acupuncturist | Acupuncture Associates of Worcester, 465 Park Avenue, Worcester, MA 01610 | 2008-01-14 |
| Find all providers in zip 01610 | ||||
| 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 |
|---|---|---|---|---|
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1780902767 | Richard Thomas Lanza | Psychologist | 686 Elmore Rd, Worcester, VT 05682-9640 | 2010-05-14 |
| 1780890020 | Wendy Huang | Psychologist | One College Street, Worcester, MA 01610-2395 | 2007-05-15 |
| 1407909484 | Martin John Mcglynn | Psychologist | 20 Indian Lake Pkwy, Worcester, MA 01605-1216 | 2007-01-21 |
| 1306903125 | Sheila Hunt Rosenblatt | Psychologist | 14 Hunthurst Cir, Worcester, MA 01602-2831 | 2007-01-02 |
| 1760576276 | Norma Lorraine Medway | Psychologist | 130 Elm St Ste 100, Worcester, MA 01609 | 2006-10-02 |
| 1740399666 | Neil Ryan Castronovo | Psychologist | 19 Marwood Rd, Worcester, MA 01602-1716 | 2006-08-30 |
| 1508972845 | Craig B Wiener | Psychologist | 48 Cedar St., Worcester, MA 00109-0010 | 2006-08-21 |
| 1295713113 | Leslie S Bourne | Psychologist | 5 Neponset St Fl Street12, Worcester, MA 01606-2714 | 2006-01-03 |
| 1992709448 | Brian Wayne Litzenberger | Psychologist | 9 Cedar St, Worcester, MA 01609-2505 | 2005-06-10 |
| Find all providers in WORCESTER | ||||
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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.