DR. KELLY PAULK RAY (NPI# 1437159639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437159639 |
| Entity Type | Individual |
| Full Name | DR. KELLY PAULK RAY |
| Credential | PHD, MP |
| Practice Address |
7913 Wrenwood Blvd Ste A Baton Rouge LA 70809 |
| Mailing Address |
7913 Wrenwood Blvd Ste A Baton Rouge LA 70809-1793 |
| Practice Telephone | 2257636300 |
| Practice Fax Number | 2257639358 |
| Mailing Telephone | 2257636300 |
| Mailing Fax Number | 2257639358 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
MP.0862 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1474657 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10630 N Oak Hills Pkwy, Suite B, Baton Rouge, LA 708100100 | 2257636300 | 2257639358 |
| 11990 Jackson St, Clinton, LA 707223210 | 2256831380 | 2256831311 |
| 455 E Airport Ave, Baton Rouge, LA 708064832 | 2256831320 | 2256831311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961274 | Kelly Yvonne Ray | Behavioral Analyst | 44225 W 12 Mile Rd Ste C-106, Novi, MI 48377-2640 | 2020-01-07 |
| 1497239750 | Kelly M Ray | Social Worker | 1532 Lone Oak Rd Ste 345, Paducah, KY 42003-7942 | 2018-09-21 |
| 1801332663 | Kelly Ray | Counselor | 351 W 79th St, Shreveport, LA 71106-4819 | 2017-01-17 |
| 1417345836 | Kelly Matthew Ray | Nurse Anesthetist, Certified Registered | 971 Lakeland Dr, Suite 202, Jackson, MS 39216-4643 | 2015-01-07 |
| 1053678391 | Kelly L Ray | Counselor | 907 N Main St, Suite 202, Anderson, SC 29621-5526 | 2012-04-11 |
| 1790054682 | Kelly Ann Ray | Registered Nurse | 7476 Back Creek Rd, Hamburg, NY 14075-7202 | 2011-12-21 |
| 1609182310 | Kelly Lee Ray | Physician Assistant | 10131 Coors Blvd Nw, Albuquerque, NM 87114-4045 | 2010-08-19 |
| 1194918516 | Kelly Merit Ray | Physical Therapist | 3700 W 15th St, Plano, TX 75075-4736 | 2007-08-20 |
| 1437168051 | Kelly Schilder Ray | Psychologist | 600 Davis St, Suite 3e, Evanston, IL 60201-4488 | 2006-08-05 |
| Street Address |
7913 WRENWOOD BLVD STE A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093860371 | Maxine Elizabeth Campbell-flint | Psychologist | 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523 | 2007-01-24 |
| 1417376047 | Moturu Lalitha Kumari | Psychologist | 4983 Bluebonnet Blvd Ste A, Baton Rouge, LA 70809-3094 | 2014-04-10 |
| 1710309216 | Jmj Psychological Services, LLC | Psychologist | 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523 | 2014-01-17 |
| 1578696555 | Cherri E. Penton | Psychologist | 1805 College Dr, Baton Rouge, LA 70808-1919 | 2007-03-13 |
| 1629018585 | Family Therapy Clinic of Louisiana, LLC | Psychologist | 8480 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2879 | 2006-06-08 |
| 1629039987 | Erich G Duchmann | Psychologist | 8480 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2879 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790297182 | George S. Park, Phd., Mp., A Psychology Corporation | Psychologist | 2285 Benton Rd Ste 401, Bossier City, LA 71111-7933 | 2017-10-25 |
| 1669887907 | John Courtney LLC | Psychologist | 118 Terra Bella Blvd, Suite 101, Covington, LA 70433-8148 | 2014-06-25 |
| 1730520925 | Faw Services, LLC | Psychologist | 223 Bellingrath Pl, Madisonville, LA 70447-3421 | 2013-07-16 |
| 1134418502 | Psychological Health Care of South Louisiana | Psychologist | 1016 Houma St, Houma, LA 70360-4420 | 2011-04-06 |
| 1922234566 | Felicia Ann Whiteman | Psychologist | 2331 Carey St, Slidell, LA 70458-3627 | 2009-06-10 |
| 1861627465 | Lakisha Shantell Williams | Psychologist | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2009-05-26 |
| 1710101373 | Rebecca Faye Nolan | Psychologist | 111 Carroll St, Shreveport, LA 71105-4203 | 2007-04-12 |
| 1013131267 | Dr. Maria B. Cruse Apmg | Psychologist | 604 North Acadia Road, Suite 201, Thibodaux, LA 70301 | 2007-04-12 |
| 1104925932 | Williams Consulting Inc. | Psychologist | 1410 Royal Ave, Monroe, LA 71201-5608 | 2006-09-21 |
| 1043247331 | Bryan L Bolwahnn | Psychologist | 100 Gayven Dr, Ball, LA 71405-4903 | 2006-06-26 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on DR. KELLY PAULK RAY.
| 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.