RYAN MICHAEL KELLY (NPI# 1639622491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639622491 |
| Entity Type | Individual |
| Full Name | RYAN MICHAEL KELLY |
| Credential | PH.D. |
| Practice Address |
8840 Blakeney Professional Dr Suite 200 Charlotte NC 28277-6718 |
| Practice Telephone | 7049704791 |
| Mailing Telephone | 7049704791 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235520180 | Ryan Kelly | Social Worker | 630 Argyle Ave, Flossmoor, IL 60422-1202 | 2015-02-13 |
| 1942263561 | Ryan Patrick Kelly | Physical Therapist | 2366 Springer Rd, Lawrenceburg, TN 38464 | 2006-04-07 |
| 1346864493 | Ryan Matthew Kelly | Neurological Surgery | 1725 W Harrison St Ste 855, Chicago, IL 60612-5113 | 2020-06-04 |
| 1528624467 | Ryan Kelly | Physical Therapist | 91a N State St, Concord, NH 03301-4334 | 2019-05-16 |
| 1942712575 | Ryan J Kelly | Nurse Practitioner | 500 University Dr, Hershey, PA 17033-2360 | 2017-11-06 |
| 1881820074 | Ryan Kelly | Internal Medicine | 2001 Bloomington Avenue S, Minneapolis, MN 55404-3074 | 2009-06-02 |
| 1982661120 | Ryan Patrick Kelly | Emergency Medicine | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2006-05-01 |
| Street Address |
8840 BLAKENEY PROFESSIONAL DR SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-6718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245258284 | Gregory Weidner | Internal Medicine | 8840 Blakeney Professional Dr, Ste 100, Charlotte, NC 28277-6718 | 2006-07-17 |
| 1518482322 | Natalie Roberts | Dietitian, Registered | 8840 Blakeney Professional Dr, Suite 100, Charlotte, NC 28277-6718 | 2017-08-14 |
| 1831639509 | Carolinas Physicians Network Inc | Internal Medicine | 8840 Blakeney Professional Dr, Ste 100, Charlotte, NC 28277-6718 | 2017-03-01 |
| 1801212048 | Jonathan Hunter Dawson | Dentist | 8840 Blakeney Professional Dr, Charlotte, NC 28277-6718 | 2014-03-12 |
| 1427318294 | Orthocarolina, Pa | Physical Therapist | 8840 Blakeney Professional Dr, Suite 102, Charlotte, NC 28277-6718 | 2012-05-25 |
| 1417266693 | Oweida and Christian Orthopaedics & Sports Med,p.a. | Specialist | 8840 Blakeney Professional Dr, Suite 102, Charlotte, NC 28277-6718 | 2010-10-05 |
| 1790011039 | Tracy Rebekah Dobbins Barcott | Psychologist | 8840 Blakeney Professional Dr, Suite 200, Charlotte, NC 28277-6718 | 2009-10-21 |
| 1861629859 | Joshua S Jensen | Marriage & Family Therapist | 8840 Blakeney Professional Dr, Suite 200, Charlotte, NC 28277-6718 | 2009-06-17 |
| 1407090707 | Southeast Psychological Services Pllc | Psychologist | 8840 Blakeney Professional Dr, Suite 200, Charlotte, NC 28277-6718 | 2009-04-30 |
| 1356584783 | Jennifer E Mcconnell | Psychologist | 8840 Blakeney Professional Dr, Suite 200, Charlotte, NC 28277-6718 | 2009-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
| 1508165986 | The G.l.u. Club, LLC | Psychologist | 9156 Eventine Ct, Charlotte, NC 28214-9323 | 2011-03-24 |
| 1861838492 | Easter Seals Ucp North Carolina & Virginia, Inc | Psychologist | 10150 Mallard Creek Rd, Suite 510, Charlotte, NC 28262-9708 | 2013-05-22 |
| 1164708228 | Shannon Kersey, Lpa | Psychologist | 4425 Randolph Rd, Suite 208, Charlotte, NC 28211-2351 | 2011-11-02 |
| 1134365497 | Theresa L. Gibson | Psychologist | 11111 Carmel Commons Blvd, Suite 220, Charlotte, NC 28226-5319 | 2008-12-16 |
| 1033354923 | Karen Shelton | Psychologist | 6025 Blakeney Park Dr, Suite 120, Charlotte, NC 28277-5703 | 2008-12-08 |
| 1427212323 | Christopher Joseph Vrabel | Psychologist | 10516 Park Rd, Charlotte, NC 28210-8405 | 2008-07-10 |
| 1386859429 | Nicolle Anderson | Psychologist | 1905 J N Pease Pl, Suite 104, Charlotte, NC 28262-4557 | 2007-05-11 |
| 1871697888 | Child & Family Development | Psychologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2006-09-11 |
| 1720190234 | Shannon Elizabeth Kersey | Psychologist | 4425 Randolph Rd, Suite 208, Charlotte, NC 28211-2351 | 2006-08-31 |
| 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.