MRS. CAITLIN PATRICIA BROCK KELLY (NPI# 1558860643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558860643 |
| Entity Type | Individual |
| Full Name | MRS. CAITLIN PATRICIA BROCK KELLY |
| Credential | LMHC |
| Practice Address |
68 Mildorf St Rochester NY 14609-7230 |
| Practice Telephone | 5854138664 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
007291 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453046 | Caitlin Kelly | Counselor | 484 W 43rd St Apt 23h, New York, NY 10036-6341 | 2019-08-22 |
| 1114253309 | Caitlin Marie Kelly | Physician Assistant | 1755 Wittington Pl, Suite 800, Dallas, TX 75234-1927 | 2009-10-23 |
| 1053570770 | Caitlin Kelly | Social Worker | 14 Beech Hill Rd, Lloyd Harbor, NY 11743-1050 | 2008-06-06 |
| 1700409570 | Caitlin Harrison Kelly | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-27 |
| 1235765397 | Caitlin Nora Kelly | Dance Therapist | 1339 York Ave, New York, NY 10021-4707 | 2020-03-20 |
| 1346701000 | Caitlin Marie Kelly | Behavioral Analyst | 620 N Robinson Dr, Robinson, TX 76706-5312 | 2019-03-26 |
| 1487156329 | Caitlin Kelly | Nurse Practitioner | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2018-03-07 |
| 1629581970 | Caitlin Marie Kelly | Nurse Practitioner | 29001 Harper Ave, Saint Clair Shores, MI 48081-2711 | 2017-11-08 |
| 1184152977 | Caitlin T Kelly | Optometrist | 484 County Line Rd W Ste 120, Westerville, OH 43082-7110 | 2017-05-24 |
| 1194178939 | Caitlin Maureen Kelly | Dentist | 131 Main St, Waltham, MA 02453-6636 | 2016-07-17 |
| Street Address |
68 MILDORF ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14609-7230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928828 | Aundrea Camille Williams | Licensed Practical Nurse | 99 Meaodw Circle, Rochester, NY 14609 | 2020-10-06 |
| 1043836869 | Sharon Ann Reilly | Registered Nurse | 910 North Goodman Street, Suite 1, Rochester, NY 14609 | 2020-06-17 |
| 1235655671 | Tameka Shaunte Parker | Licensed Practical Nurse | 35 Village Way, Rochester, NY 14609 | 2017-08-17 |
| 1851817472 | Mary Ann Dukes | Registered Nurse | 75 Yates Street, Rochester, NY 14609 | 2017-08-15 |
| 1023533064 | Fernando Caumont | Urology | 2615 Culver Rd Ste 100, Rochester, NY 14609 | 2017-08-10 |
| 1083061162 | Teyanee Latavia Harewood | Registered Nurse | 418 Hayward Ave, Rochester, NY 14609 | 2016-05-19 |
| 1164853891 | Sukhminder Kaur Sahansra | Internal Medicine | 335 North Park Drive, Elderone, Rochester, NY 14609 | 2013-12-05 |
| 1952749863 | Nada Jadrovska | Registered Nurse | 79 Eagle Rock Dr, Rochester, NY 14609 | 2013-06-13 |
| 1457602930 | Lynnetta Maria Hollomon | Licensed Practical Nurse | 827 Edgecreek Trail, Rochester, NY 14609 | 2012-09-25 |
| 1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
| Find all providers in zip 14609 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928042 | Marie Halpin | Counselor | 224 Alexander St Ste 100, Rochester, NY 14607-4000 | 2020-10-05 |
| 1033721329 | Jessica Estey | Counselor | 405 Alexander St Apt 3, Rochester, NY 14607-1018 | 2020-08-19 |
| 1619593688 | Alexandra Kerr | Counselor | 40 Rowley St Apt 10, Rochester, NY 14607-2642 | 2020-06-24 |
| 1013537505 | Nicoletta Lattuca | Counselor | 87 Twin Oak Dr, Rochester, NY 14606-4413 | 2020-04-24 |
| 1306466586 | R.k.k.s. Mental Health Counseling Pllc | Counselor | 189 N Water St Ste 700, Rochester, NY 14604-1163 | 2020-04-17 |
| 1538788856 | Chastity Murray | Counselor | 364 Seneca Pkwy, Rochester, NY 14613-1417 | 2020-04-16 |
| 1023637048 | Thea Schnase | Counselor | 13423 Littlerock Rd Sw, Rochester, WA 98579-9749 | 2020-04-09 |
| 1467085233 | Briana Faringer | Counselor | 33 Cornell St Apt 2, Rochester, NY 14607-3133 | 2020-02-19 |
| 1831722321 | Carriola Lee Chambers | Counselor | 500 Carter St, Rochester, NY 14621-3902 | 2020-02-13 |
| 1154969574 | Heather Nicole Paessler-chesterton | Counselor | 132 Allens Creek Rd Ste 200, Rochester, NY 14618-3310 | 2019-12-16 |
| Find all providers in ROCHESTER | ||||
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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.