DR. KELLEY BOLTON (NPI# 1568619211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568619211 |
| Entity Type | Individual |
| Full Name | DR. KELLEY BOLTON |
| Credential | PSY.D. |
| Practice Address |
6060 Piedmont Row Dr S Suite 120 Charlotte NC 28287-3884 |
| Practice Telephone | 7045520116 |
| Practice Fax Number | 7045527550 |
| Mailing Telephone | 7045520116 |
| Mailing Fax Number | 7045527550 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2012-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
101092711 | NC | Behavioral Health & Social Service Providers |
| Street Address |
6060 PIEDMONT ROW DR S SUITE 120 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28287-3884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376562728 | Alice C Wight | Internal Medicine | 6060 Piedmont Row Dr S, Charlotte, NC 28287-3884 | 2006-07-18 |
| 1366925158 | Elizabeth Christine Walters | Nurse Practitioner | 6060 Piedmont Row Dr S, Charlotte, NC 28287-3884 | 2018-09-08 |
| 1386015782 | Tarik Sloussi | Counselor | 6060 Piedmont Row Dr S, Suite 120, Charlotte, NC 28287-3884 | 2015-10-12 |
| 1992104939 | Raluca Maria Brady | Marriage & Family Therapist | 6060 Piedmont Row Dr S, Suite 120, Charlotte, NC 28287-3884 | 2014-08-15 |
| 1447660964 | Erin Landis Hodges | Dermatology | 6060 Piedmont Row Dr S, Charlotte, NC 28287-3884 | 2014-05-06 |
| 1295162568 | Jonathan Eric Hetterly | Counselor | 6060 Piedmont Row Dr S, Suite 120, Charlotte, NC 28287-3884 | 2013-10-02 |
| 1962750513 | Rachel Sherman Kitson | Counselor | 6060 Piedmont Row Dr S, Suite 120, Charlotte, NC 28287-3884 | 2012-08-29 |
| 1720336597 | Heather Ann Wright | Psychologist | 6060 Piedmont Row Dr S, Suite 120, Charlotte, NC 28287-3884 | 2012-08-27 |
| 1275806168 | Patrick Oconnor | Psychologist | 6060 Piedmont Row Dr S, Suite 120, Charlotte, NC 28287-3884 | 2012-02-23 |
| 1487927315 | Sean Brian Knuth | Psychologist | 6060 Piedmont Row Dr S, Ste 120, Charlotte, NC 28287-3884 | 2012-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770826281 | Desaree Valerie Festa-dreher | Psychologist | 6060 Piedmont Row South, Suite 120, Charlotte, NC 28287 | 2013-04-03 |
| 1851567747 | Casey Jo Humbyrd | Orthopaedic Surgery | 601 N Caroline Street, Baltimore, MD 28287 | 2008-05-01 |
| 1740200047 | James B Jones | Internal Medicine | 6060 Piedmont Row Dr S Fl 10, Charlotte, NC 28287 | 2006-07-20 |
| 1275552549 | Elizabeth A Dean | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2006-07-18 |
| 1902862303 | Meredith Leigh Dasher | Specialist | 6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287 | 2006-04-25 |
| 1336108455 | Hala J Webster | Internal Medicine | 6060 Piedmont Row Dr S Fl 8, Charlotte, NC 28287 | 2006-03-18 |
| 1720606403 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 6060 Piedmont Row Drive South, Suite 524, Charlotte, NC 28287 | 2020-07-09 |
| 1326528464 | Leia Ann Charnin | Psychologist | 6060 Piedmont Row Dr S Ste 120, Charlotte, NC 28287 | 2018-08-17 |
| 1144595380 | Althea Mascarenhas Cunningham | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2012-03-21 |
| 1528379609 | Robert Calvin Brownlee Iv | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2010-06-23 |
| Find all providers in zip 28287 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123531 | Robert B Stroker | Psychologist | 10617 Kettering Dr Ste 213, Charlotte, NC 28226-4900 | 2020-01-09 |
| 1902460744 | Holly Hauser | Psychologist | 1905 J N Pease Pl Ste 104, Charlotte, NC 28262-4509 | 2019-04-26 |
| 1972944759 | Intrusted Care Solutions Inc | Psychologist | 2340 N Graham St Ste B, Charlotte, NC 28206-2506 | 2013-07-09 |
| 1790029791 | David E Mermelstein | Psychologist | 6201 Fairview Road, Ste 200, Charlotte, NC 28210-3297 | 2012-11-15 |
| 1598014011 | Jesse Selkin | Psychologist | 8832 Blakeney Professional Dr Ste 105, Charlotte, NC 28277-6717 | 2012-08-30 |
| 1629324975 | Kevin L Gyoerkoe | Psychologist | 8832 Blakeney Professional Dr, Suite 105, Charlotte, NC 28277-6809 | 2012-07-24 |
| 1235406109 | Redlak Recovery Center, Pllc | Psychologist | 10801 Johnston Rd Ste 217, Charlotte, NC 28226-7856 | 2011-11-21 |
| 1801172051 | Chad Wesley Kraska | Psychologist | 7400 Carmel Executive Park Dr Ste 135, Charlotte, NC 28226-8400 | 2011-11-01 |
| 1679805717 | Rose Marie Leday | Psychologist | 3440 Toringdon Way, Suite #205, Charlotte, NC 28277-3190 | 2010-01-29 |
| 1023241965 | Briana Melissa Webber-lind | Psychologist | 12815 Longstraw Rd, Charlotte, NC 28227-3686 | 2009-08-26 |
| Find all providers in CHARLOTTE | ||||
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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.