KATHERINE RUTH KELLY (NPI# 1427567338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427567338 |
| Entity Type | Individual |
| Full Name | KATHERINE RUTH KELLY |
| Practice Address |
2280 Diamond Blvd Ste 500 Concord CA 94520-5719 |
| Mailing Address |
160 The Trees Dr Concord CA 94518-3705 |
| Practice Telephone | 9254832223 |
| Mailing Telephone | 9254358832 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801134275 | Katherine Mercedes Kelly | Advanced Practice Midwife | 226 Ashville Ave Ste 120, Cary, NC 27518-6660 | 2013-01-19 |
| 1851656300 | Katherine Hemming Renner Kelly | Surgery | 140 Colemans Xing Ste 100, Marysville, OH 43040-7080 | 2012-07-11 |
| 1245436997 | Katherine Anne Kelly | Dentist | 1020 E Michigan Ave, Saline, MI 48176-1525 | 2007-06-21 |
| 1407822372 | Katherine T. Kelly | Psychologist | 1001 Reynolda Rd, Stockton Cottage, Winston-salem, NC 27104-3245 | 2006-02-28 |
| 1215534433 | Katherine Kelly | Student in an Organized Health Care Education/Training Program | Potomac Behavioral Solutions, Suite 800, Arlington, VA 22202 | 2020-10-01 |
| 1548829195 | Katherine Marie Kelly | Physical Therapist | 19 Bradford St, Sonora, CA 95370-4701 | 2019-06-07 |
| 1336648278 | Katherine Kelly | Behavior Technician | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4201 | 2018-02-06 |
| 1770097206 | Katherine Michelle Kelly | Behavioral Analyst | 12 Monument Dr, Stafford, VA 22554-8508 | 2017-11-20 |
| 1942725841 | Katherine Elizabeth Kelly | Counselor | 10735 S Cicero Ave, Oak Lawn, IL 60453-5400 | 2017-08-11 |
| 1316475288 | Katherine Grace Kelly | Behavior Technician | 1363 Douglas Dr Ste 104, Traverse City, MI 49696-8980 | 2017-05-23 |
| Street Address |
2280 DIAMOND BLVD STE 500 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891998761 | Kimberly Ann Porter-leite | Marriage & Family Therapist | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2007-06-07 |
| 1437762929 | Ed Taniqua Caprice Moore | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2020-08-25 |
| 1477119642 | Tangalia Williams | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-05-14 |
| 1417513607 | Stacy Patricia Heiser | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-05-14 |
| 1407412620 | Jenny Lee Sisler | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-05-13 |
| 1821551508 | John Langali Mwaengo | Licensed Psychiatric Technician | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-04-10 |
| 1578026365 | Reyna Domondon | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-04-09 |
| 1326507989 | Alexa Cecile Goloff | Registered Nurse | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-03-13 |
| 1053875310 | Claire Josephine Partida | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-01-30 |
| 1881171692 | Bridgette Suzanne Florez | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844273 | Michael Frost Lynch | Counselor | 23 Crest St, Concord, MA 01742-3006 | 2020-09-08 |
| 1487263281 | Tara Burgess | Counselor | 357 Nashawtuc Rd, Concord, MA 01742-1616 | 2020-07-28 |
| 1245861533 | Christine Marie Perez | Counselor | 1333 Willow Pass Rd Ste 2100, Concord, CA 94520-7930 | 2020-01-27 |
| 1649814104 | Live Your Life Clt Counseling Pllc | Counselor | 185 Church St Ne, Concord, NC 28025-4761 | 2019-10-28 |
| 1194368902 | Dara Michelle Brenner | Counselor | 66 Commonwealth Ave, Concord, MA 01742-2974 | 2019-10-24 |
| 1316593379 | Courtney J Cupelo | Counselor | 90 Airport Rd Unit 22, Concord, NH 03301-5356 | 2019-08-15 |
| 1689131104 | Baljeet Kaur Heyer | Counselor | 1486 Fox Hollow Ct, Concord, CA 94521-2521 | 2019-02-21 |
| 1679037774 | Jill C Resch | Counselor | 284 Executive Park Dr Ste 160, Concord, NC 28025-1836 | 2019-01-23 |
| 1114491412 | Eileen Ann English | Counselor | 2 Concord Greene Unit 2, Concord, MA 01742-3186 | 2019-01-20 |
| 1598239352 | Stuart Scott | Counselor | 259 S Main St, Concord, NH 03301-3405 | 2019-01-15 |
| Find all providers in CONCORD | ||||
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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.