THOMAS JOHN KELLY (NPI# 1477030823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477030823 |
Entity Type | Individual |
Full Name | THOMAS JOHN KELLY |
Credential | LADC |
Practice Address |
1 Delta Dr Westbrook ME 04092-4745 |
Mailing Address |
10 Brookside Dr Cumberland ME 04021-4057 |
Practice Telephone | 2078537227 |
Practice Fax Number | 2078562112 |
Mailing Telephone | 2073573774 |
Enumeration Date | 2018-07-27 |
Last Update Date | 2018-07-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LC3444 | ME | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 207LA0401X | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245844554 | Thomas Kelly | Physical Therapist | 204 Eastlake Ave, Massapequa Park, NY 11762-2145 | 2020-09-03 |
1962718684 | Thomas Bebell Kelly | Pharmacist | 6520 Barton Ct, Johnston, IA 50131-2900 | 2010-08-19 |
1598071201 | Thomas Kelly | Internal Medicine | 850 W Baraga Ave Ste 32, Marquette, MI 49855-4550 | 2010-08-19 |
1316170988 | Thomas Joseph Kelly II | Ophthalmology | 2104 Golfview Dr Ne, New Philadelphia, OH 44663-9700 | 2009-08-31 |
1265523500 | Thomas J Kelly | Physical Therapist | 2704 Mineral Springs Ave, Knoxville, TN 37917-1562 | 2006-09-28 |
1972607562 | Thomas E. Kelly | Counselor | 108 S Minnesota Ave Ste 102, Saint Peter, MN 56082-2557 | 2006-09-12 |
1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
1043228000 | Thomas Francis Kelly | Dentist | 200 North Royal Tower Dr, Irmo, SC 29063 | 2006-08-04 |
1225050149 | Thomas M Kelly | Chiropractor | 124 State Route 35, Red Bank, NJ 07701-5906 | 2006-07-24 |
1215958723 | Thomas Michael Kelly Jr. | Pharmacist | 528 West Lacey Road, Forked River, NJ 08731 | 2006-07-21 |
Street Address |
1 DELTA DR |
City | WESTBROOK |
State | ME |
Zip Code | 04092-4745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184762247 | Cap Quality Care, Inc. | Clinic/Center | 1 Delta Dr, Suite A, Westbrook, ME 04092-4765 | 2007-02-02 |
1639792047 | Amanda Spofford O'connor | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2020-05-20 |
1336761444 | Mackenzie Anderson | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2020-05-12 |
1215403142 | Sherry Kessler | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2018-10-18 |
1013455245 | Dustin Howard | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2017-02-08 |
1700238672 | Melissa L Lebrun | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2016-07-05 |
1396087755 | Cortnie Curran | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2013-03-25 |
1053653808 | Danielle Rideout | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2013-03-20 |
1104179969 | Kathleen C Perkins | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2012-10-18 |
1700174240 | Kathryn Holt | Counselor | 1 Delta Dr, Suite A, Westbrook, ME 04092-4745 | 2011-07-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
Find all providers in zip 04092 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376165274 | Frances Rodenburg Rodenburg | Counselor | 14 Kelley Way, Westbrook, ME 04092-2762 | 2020-05-13 |
1750657292 | Sommer Cox | Counselor | 1 Delta Drive, Westbrook, ME 04092 | 2012-03-29 |
1578850780 | Katherine L Sawyer | Counselor | 1 Delta Dr Ste A, Westbrook, ME 04092-4745 | 2011-07-08 |
1154552552 | James E Heintz II | Counselor | 280 Park Rd, Westbrook, ME 04092-3142 | 2009-08-03 |
1568531853 | Curtis M. Scribner Jr. | Counselor | 1 Harnois Avenue, Maine Medical Partners, Westbrook, ME 04092-4392 | 2006-11-08 |
1952418709 | Carol Maynard Larson | Counselor | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2006-08-25 |
1639792047 | Amanda Spofford O'connor | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2020-05-20 |
1336761444 | Mackenzie Anderson | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2020-05-12 |
1215403142 | Sherry Kessler | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2018-10-18 |
1013455245 | Dustin Howard | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2017-02-08 |
Find all providers in WESTBROOK |
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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.