KELLEY SGROI (NPI# 1629340823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629340823 |
| Entity Type | Individual |
| Full Name | KELLEY SGROI |
| Other Name | KELLEY SGROI |
| Credential | LYNC |
| Practice Address |
252 W Marion Ave # 1134 Punta Gorda FL 33950-4442 |
| Practice Telephone | 9412048595 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH17027 | FL | Behavioral Health & Social Service Providers |
| N | 124Q00000X | Dental Hygienist | 005958 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1629340823 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22330 Gleneagles Ter, Port Charlotte, FL 339525628 | 8602565754 | |
| 51 Pierce St, Unit A3, Plainville, CT 060622280 | 8602565754 |
| Street Address |
252 W MARION AVE # 1134 |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952647158 | Karen Goff Ford | Specialist | 252 W Marion Ave, Suite 1124, Punta Gorda, FL 33950-4442 | 2012-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871949412 | Alan Crandall | Counselor | 26598 Trinilas Dr, Punta Gorda, FL 33983-5338 | 2016-05-13 |
| 1013395326 | Elizabeth Porfert | Counselor | 10033 Winding River Rd, Punta Gorda, FL 33950-1302 | 2015-05-07 |
| 1114327244 | Alexandra Fichetti | Counselor | 1196-j Rio De Janeiro. Ave, Punta Gorda, FL 33983 | 2014-08-26 |
| 1396088837 | Aileen Brandt | Counselor | 7444 S Seagrape Rd, Punta Gorda, FL 33955-1037 | 2013-04-03 |
| 1427340116 | Adam Quinn | Counselor | 7560 Dracena, Punta Gorda, FL 33955-1171 | 2011-05-12 |
| 1528205713 | Donna Victoria Taylor | Counselor | 8330 Alan Blvd, Punta Gorda, FL 33982-2321 | 2009-01-09 |
| 1275719171 | Amanda Mcdonald Kennard | Counselor | 207 Cross St, Ste 103, Punta Gorda, FL 33950-4445 | 2008-01-10 |
| 1871777599 | Chrisanna G Harrington | Counselor | 252 W Marion Ave Ste 1133, Punta Gorda, FL 33950-4442 | 2007-12-18 |
| 1679638365 | Randy M Cisne | Counselor | 309 Tamiami Trl Ste 5, Punta Gorda, FL 33950-4875 | 2006-12-25 |
| 1770596199 | Leslie L Renner | Counselor | 25166 Marion Ave, Ste 112, Punta Gorda, FL 33950-4017 | 2006-08-15 |
| Find all providers in PUNTA GORDA | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
Please comment or provide details below to improve the information on KELLEY SGROI.
| 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.