JOSEPHINE MAY KELLY (NPI# 1629132519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629132519 |
| Entity Type | Individual |
| Full Name | JOSEPHINE MAY KELLY |
| Credential | MA |
| Practice Address |
6 Jungermann Cir Suite 203 Saint Peters MO 63376-1621 |
| Practice Telephone | 6369394247 |
| Mailing Telephone | 6369394247 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PYO1352 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | VALUE OPTIONS | 102105 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 113437 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134249873 | Josephine Sally Kelly | Counselor | 101 E Walker St, Suite 512 & 513, Breckenridge, TX 76424 | 2007-03-29 |
| 1275156374 | Josephine Raye Kelly | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Ave Ste 125d, Oakland, CA 94605-2424 | 2020-05-22 |
| 1619124070 | Josephine Marie Kelly | Counselor | 452 Suffolk Ave, Brentwood, NY 11717-4207 | 2008-08-27 |
| Street Address |
6 JUNGERMANN CIR SUITE 203 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194716688 | Mark S Wald | Internal Medicine | 6 Jungermann Cir, Suite 210, Saint Peters, MO 63376-1621 | 2005-11-02 |
| 1639423742 | Bjsph Physician Billing Services, LLC | Clinic/Center | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1621 | 2012-10-29 |
| 1699001958 | Tatyana Petrosova, M.d.p.c. | Internal Medicine | 6 Jungermann Cir, Suite 215, Saint Peters, MO 63376-1621 | 2009-10-21 |
| 1821245457 | Subbarao Polineni, M.d. PC | Orthopaedic Surgery | 6 Jungermann Cir, Ste 107, Saint Peters, MO 63376-1621 | 2008-08-26 |
| 1487801635 | Laura Wagner, Inc | Specialist | 6 Jungermann Cir, Suite 211, Saint Peters, MO 63376-1621 | 2008-08-19 |
| 1114193083 | Jennifer L Keen | Nurse Practitioner | 6 Jungermann Cir, Suite 209, Saint Peters, MO 63376-1621 | 2008-05-01 |
| 1255522819 | Respiratory Disease Consultants, LLC | Internal Medicine | 6 Jungermann Cir, Suite 121, Saint Peters, MO 63376-1621 | 2007-08-07 |
| 1396945168 | St. Charles Nephrology | Internal Medicine | 6 Jungermann Cir, Suite 215, Saint Peters, MO 63376-1621 | 2007-07-20 |
| 1093878258 | Ron Javdan | Internal Medicine | 6 Jungermann Cir, Suite 203, Saint Peters, MO 63376-1621 | 2006-12-19 |
| 1578630638 | William F Sill | Family Medicine | 6 Jungermann Cir, 108, Saint Peters, MO 63376-1621 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252789 | Karen Sue Johnson | Psychologist | 1706 Nw 63rd Ter, Kansas City, MO 64118-3000 | 2020-10-09 |
| 1124675160 | Integrative Mind Institute, LLC | Psychologist | 7750 Clayton Rd Ste 303, Richmond Heights, MO 63117-1341 | 2019-08-23 |
| 1063972081 | Marianela Dornhecker | Psychologist | 3832 Mcdonald Ave, Saint Louis, MO 63116-4717 | 2019-03-25 |
| 1255813002 | Rimiko Thomas | Psychologist | 19 Ranchview Dr, Florissant, MO 63033-8043 | 2018-08-29 |
| 1861995680 | Chrisanthia Brown | Psychologist | 800 W 47th St Ste 630, Kansas City, MO 64112-1373 | 2018-03-18 |
| 1518483825 | Consuelo Maturana | Psychologist | 7505 Pershing Ave Apt 2w, Saint Louis, MO 63130-4024 | 2017-08-17 |
| 1922520394 | Ivorie D Chambers | Psychologist | 10439 Gardo Court, Saint Louis, MO 63137 | 2017-07-07 |
| 1801251764 | Douglas H Fehr | Psychologist | 1504 Se Cape Dr, Lees Summit, MO 64081-2180 | 2015-12-19 |
| 1205222346 | David L Schlink & Associates Psychological Services LLC | Psychologist | 2017 E Lark St, Springfield, MO 65804-6745 | 2015-04-14 |
| 1104223940 | Partners In Parenting Excellence LLC | Psychologist | 2906 S Main St, Joplin, MO 64804-2639 | 2014-11-21 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
Please comment or provide details below to improve the information on JOSEPHINE MAY 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.