DR. KELLY LYNN RAIN (NPI# 1649329079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649329079 |
| Entity Type | Individual |
| Full Name | DR. KELLY LYNN RAIN |
| Credential | PH.D. |
| Practice Address |
1507 Riverview Dr Melbourne FL 32901-4625 |
| Practice Telephone | 3219840708 |
| Practice Fax Number | 3219849060 |
| Mailing Telephone | 3219840708 |
| Mailing Fax Number | 3219849060 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0004574 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1507 RIVERVIEW DR |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235220609 | Susan P. Trefry | Psychologist | 1507 Riverview Dr, Melbourne, FL 32901-4625 | 2006-09-28 |
| 1730236803 | Sara Baldwin Howze | Psychologist | 1507 Riverview Dr, Melbourne, FL 32901-4625 | 2007-01-04 |
| 1255488185 | Anthony Ferretti | Psychologist | 1507 Riverview Dr, Melbourne, FL 32901-4625 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427535335 | Counseling and Assessment Center of Brevard Inc | Psychologist | 7155 Murrell Rd Ste 101, Melbourne, FL 32940-8258 | 2018-07-24 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1083101570 | Jeffrey M Williamson Phd LLC | Psychologist | 3700 N Harbor City Blvd Ste 1d, Melbourne, FL 32935-5764 | 2018-04-19 |
| 1598131286 | Joseph Walden | Psychologist | 1370 Bedford Dr Ste 106, Melbourne, FL 32940-1993 | 2015-08-17 |
| 1609270545 | Sandra Robinson Wise | Psychologist | 2615 Lowell Cir, Melbourne, FL 32935-2216 | 2014-10-21 |
| 1437433828 | Haya Soya | Psychologist | 2312 S Babcock St, Melbourne, FL 32901-5308 | 2011-10-04 |
| 1184908790 | Sarah Marie Weinstein Arnett | Psychologist | 100 Rialto Pl Ste 756, Melbourne, FL 32901-3003 | 2011-09-30 |
| 1801019963 | Kathy D. Pearce | Psychologist | 729 S Apollo Blvd, Melbourne, FL 32901-1457 | 2007-04-10 |
| 1134213903 | Aliza Rosen, Psy.d.,p.a. | Psychologist | 1370 Bedford Dr, 106, Melbourne, FL 32940-1993 | 2006-10-03 |
| 1700970662 | Aliza Naomi Rosen | Psychologist | 1370 Bedford Dr Ste 102, Melbourne, FL 32940-1993 | 2006-10-03 |
| Find all providers in MELBOURNE | ||||
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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.