BRIDGET T KELLY (NPI# 1578045712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578045712 |
| Entity Type | Individual |
| Full Name | BRIDGET T KELLY |
| Credential | PSY.D |
| Practice Address |
1 Richmond Sq Ste 321w Providence RI 02906 |
| Mailing Address |
400 Bald Hill Rd Ste 530 Warwick RI 02886-6111 |
| Practice Telephone | 4013493131 |
| Mailing Telephone | 4013493131 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294161 | Bridget Kelly | Social Worker | Millersville University of Pennsylvania, 40 Dilworth Road, Millersville, PA 17551-1760 | 2020-01-10 |
| 1437627668 | Bridget E Kelly | Speech-Language Pathologist | 1639 Sheffield Street, Charleston, SC 29407-2940 | 2018-11-06 |
| 1598207748 | Bridget Ann Kelly | Physical Therapist | 1630 101st Ave Ne, Suite 140, Blaine, MN 55449-3400 | 2016-11-04 |
| 1922468297 | Bridget Kelly | Speech-Language Pathologist | 1127 Cardinal Dr, West Chester, PA 19382-7816 | 2016-03-01 |
| 1225447345 | Bridget Kelly | Physician Assistant | 7009 Dr Phillips Blvd Ste 100, Orlando, FL 32819-5122 | 2014-08-04 |
| 1790057537 | Bridget Kelly | Counselor | 1321 Murfreesboro Pike Ste 203, Nashville, TN 37217-2720 | 2012-02-08 |
| 1407468101 | Bridget Kelly | Physical Therapist | 1450 Busch Pkwy Ste 115a, Buffalo Grove, IL 60089-4541 | 2020-08-24 |
| 1851636369 | Bridget Kelly | Obstetrics & Gynecology | 451 Junction Rd, Madison, WI 53717-2656 | 2012-12-10 |
| 1154419901 | Bridget Barat Kelly | Physician Assistant | 131 Coventry St, Hartford, CT 06112-1548 | 2006-10-10 |
| 1316974256 | Bridget Lynell Kelly | Registered Nurse | 31st and Battallion, Bldg 420, Fort Hood, TX 76544 | 2006-06-27 |
| Street Address |
1 RICHMOND SQ STE 321W |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982703799 | Jacqueline Anne Twitchell | Psychologist | 1 Richmond Sq Ste 321w, Providence, RI 02906 | 2006-09-21 |
| 1205435914 | Joseph, Vl., LLC | Community/Behavioral Health | 1 Richmond Sq Ste 321w, Providence, RI 02906-5156 | 2020-10-22 |
| 1043819931 | Wendy V., Lmhc, LLC | Counselor | 1 Richmond Sq Ste 321w, Providence, RI 02906-5156 | 2020-10-21 |
| 1205393501 | New England Wellness Collaborative | Social Worker | 1 Richmond Sq Ste 321w, Providence, RI 02906-5156 | 2019-02-23 |
| 1124585427 | New England Wellness Collaborative | Community/Behavioral Health | 1 Richmond Sq Ste 321w, Providence, RI 02906-5156 | 2019-02-23 |
| 1073038949 | Wendy Vedrine | Counselor | 1 Richmond Sq Ste 321w, Providence, RI 02906-5156 | 2017-08-11 |
| 1164555413 | Jessica Hopkins | Psychologist | 1 Richmond Sq Ste 321w, Providence, RI 02906 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1346856382 | Carly Danielle Masse | Student in an Organized Health Care Education/Training Program | 350 Eddy St, Providence, RI 02903-4202 | 2020-09-16 |
| 1194337220 | Shannon Adams | Student in an Organized Health Care Education/Training Program | Brown University Box G-9999, Providence, RI 02912-0001 | 2020-08-19 |
| 1023647534 | Mary Reedy | Student in an Organized Health Care Education/Training Program | 17 University Ave, Providence, RI 02906-4121 | 2020-04-06 |
| 1730747502 | Kristian Georgiev | Student in an Organized Health Care Education/Training Program | Brown University Box G-9525, Providence, RI 02912-0001 | 2019-06-05 |
| 1053975896 | Chad Simon | Student in an Organized Health Care Education/Training Program | 70 Kennedy Plz Unit 2, Providence, RI 02903-2000 | 2019-04-26 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1134616055 | Muyide Olujola Satiregun | Student in an Organized Health Care Education/Training Program | 252 Dudley St, Providence, RI 02907-1011 | 2018-04-16 |
| 1659887503 | Michele Tracy Diamond | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave Bldg 2, Providence, RI 02908-4734 | 2017-12-14 |
| 1851821268 | Jia Jennifer Ding | Student in an Organized Health Care Education/Training Program | 101 Dudley St Ste 1440, Providence, RI 02905-2401 | 2017-06-18 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on BRIDGET T KELLY.
| 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.