KELLI DOLAN (NPI# 1548662703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548662703 |
| Entity Type | Individual |
| Full Name | KELLI DOLAN |
| Practice Address |
72 Jaques Avenue Worcester MA 01610 |
| Practice Telephone | 5088601000 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Street Address |
72 JAQUES AVENUE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003896002 | Katarzyna M Podoska-locurto | Clinical Nurse Specialist | 72 Jaques Avenue, Worcester, MA 01610-2480 | 2006-01-18 |
| 1487041471 | Afia Manu | Counselor | 72 Jaques Avenue, Worcester, MA 01610 | 2015-04-17 |
| 1629123062 | Mika Nitta | Psychologist | 72 Jaques Avenue, Worcester, MA 01610-2480 | 2007-01-24 |
| 1326106667 | Heidi Lynn Goodby-diroberto | Counselor | 72 Jaques Avenue, Worcester, MA 01610 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 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 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114446432 | Autism Therapuetic Services LLC | Early Intervention Provider Agency | 25 Bjorklund Ave, Worcester, MA 01605-1065 | 2017-09-19 |
| 1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
| 1720363393 | Autism Intervention Specialists | Early Intervention Provider Agency | 330 Grove St, Worcester, MA 01605-3909 | 2011-10-14 |
| 1891322657 | Autism Behavioral Links | Early Intervention Provider Agency | 377 Shrewsbury St, Worcester, MA 01604-1632 | 2020-03-23 |
| 1497124416 | Thom Child and Family Services | Early Intervention Provider Agency | 239 Mill St, Worcester, MA 01602-3191 | 2015-09-21 |
| 1952736399 | Amanda Goding | Early Intervention Provider Agency | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2013-09-04 |
| 1194074310 | Karen A. Hawk | Early Intervention Provider Agency | 237 Millbury St, Worcester, MA 01610-2177 | 2012-09-04 |
| 1699043901 | Community Healthlink | Early Intervention Provider Agency | 275 Belmont St, Worcester, MA 01604-1675 | 2011-12-01 |
| 1093022139 | You Inc | Early Intervention Provider Agency | 172 Lincoln St, Worcester, MA 01605-3750 | 2010-09-10 |
| 1912221011 | Ana B Soto-andrews | Early Intervention Provider Agency | 340 Main St, Worcester, MA 01608-1604 | 2010-03-17 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on KELLI DOLAN.
| 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.