MR. ROBERT P KELLEY (NPI# 1457693947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457693947 |
| Entity Type | Individual |
| Full Name | MR. ROBERT P KELLEY |
| Practice Address |
55 Lake Ave N Umass Memorial Medical Center, Psychiatry Worcester MA 01655-0002 |
| Practice Telephone | 5083343562 |
| Practice Fax Number | 5084211000 |
| Mailing Telephone | 5083343562 |
| Mailing Fax Number | 5084211000 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968240 | Robert Lee Kelley IIi | Occupational Therapist | 615 Brooks Mill Cir, Hermitage, TN 37076-4141 | 2020-09-25 |
| 1972008779 | Robert H. Kelley | Social Worker | 73 Page Rd, Needham, MA 02492 | 2018-03-26 |
| 1255731063 | Robert Kelley | Pharmacist | 4209 192nd Pl Sw, Lynnwood, WA 98036-5633 | 2014-08-28 |
| 1093957334 | Robert Stanislaw Kelley | Student in an Organized Health Care Education/Training Program | 5637 Peachtree Dunwoody Road, Suite 700, Atlanta, GA 30342 | 2009-04-01 |
| 1528250081 | Robert Paul Kelley | Family Medicine | 1123 Richelieu Lane, Houston, TX 77018-2019 | 2007-08-17 |
| 1477697878 | Robert O. Kelley | Counselor | 225 Lee Hook Rd, Lee, NH 03824-6415 | 2007-02-18 |
| 1093876609 | Robert Long Kelley | Psychiatry & Neurology | 20 Hope Ave Suite 201, Waltham, MA 20453 | 2006-12-13 |
| 1588777924 | Robert D Kelley | Pharmacist | 38 E Main St, Sylva, NC 28779-3040 | 2006-08-17 |
| 1568936219 | Robert Bruce Kelley Jr. | Counselor | 34 W 2nd St, Ashland, OH 44805-2201 | 2019-01-16 |
| 1093126427 | Robert T Kelley | Family Medicine | 4650 Signal Tree Dr Ste 1200, Timnath, CO 80547-4908 | 2014-05-20 |
| Street Address |
55 LAKE AVE N UMASS MEMORIAL MEDICAL CENTER, PSYCHIATRY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271274 | Simon Hayward Waters | Counselor | 67 Rockrimmon Rd, Worcester, MA 01602-2231 | 2020-09-26 |
| 1962015735 | Oumie Hawa Nyassi | Counselor | 78 Upsala St Unit 1, Worcester, MA 01610-2060 | 2020-08-31 |
| 1407470883 | Eliana Catalina Agudelo | Counselor | 259 May St, Worcester, MA 01602-3286 | 2020-06-02 |
| 1720625932 | Richard Jose Figueroa | Counselor | 31 Drexel St, Worcester, MA 01602-1238 | 2019-12-06 |
| 1336794577 | Bailiner Cruz | Counselor | 31 Queen St, Worcester, MA 01610-2456 | 2019-08-05 |
| 1437617552 | Wellbe To Go, Inc. | Counselor | 40 Yukon Ave, Worcester, MA 01605-1630 | 2019-03-07 |
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1962914614 | Michelle Montanez | Counselor | 21 Dewey St, Worcester, MA 01609-2909 | 2017-11-02 |
| 1528579125 | Rochelle M Santiago | Counselor | 9 Cottage St, Worcester, MA 01609-2301 | 2017-10-23 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| 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.