RICHARD KELLMAN (NPI# 1649505397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649505397 |
| Entity Type | Individual |
| Full Name | RICHARD KELLMAN |
| Credential | MA, LMHC |
| Practice Address |
156 Corliss Ave Eckelberger Tower Suite 108 Johnson City NY 13790-2060 |
| Practice Telephone | 6077636475 |
| Practice Fax Number | 6077636471 |
| Mailing Telephone | 6077636475 |
| Mailing Fax Number | 6077636471 |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 001319 | NY | Behavioral Health & Social Service Providers |
| Street Address |
156 CORLISS AVE ECKELBERGER TOWER SUITE 108 |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093795098 | Ling-ling Shih | Nurse Anesthetist, Certified Registered | 156 Corliss Ave, Suite 107, Johnson City, NY 13790-2060 | 2006-01-18 |
| 1558976027 | Sumit Manhas | Student in an Organized Health Care Education/Training Program | 156 Corliss Ave, Johnson City, NY 13790-2060 | 2020-09-11 |
| 1780081976 | Hayon Lee | Registered Nurse | 156 Corliss Ave, Suite 107, Johnson City, NY 13790-2060 | 2014-12-03 |
| 1336540350 | Travis Flanagan | Nurse Anesthetist, Certified Registered | 156 Corliss Ave, Johnson City, NY 13790-2060 | 2014-09-09 |
| 1760810188 | Raphael Stuccio | Nurse Anesthetist, Certified Registered | 156 Corliss Ave, Johnson City, NY 13790-2060 | 2013-10-22 |
| 1275977019 | Isuru Udayanga Wijesinghe | Anesthesiology | 156 Corliss Ave, Ste 107, Johnson City, NY 13790 | 2013-04-23 |
| 1861745861 | Thomas Romero | Nurse Anesthetist, Certified Registered | 156 Corliss Ave, Suite 107, Johnson City, NY 13790-2060 | 2012-10-16 |
| 1336492339 | Jerry Sarfo-darko Jr. | Nurse Anesthetist, Certified Registered | 156 Corliss Ave, Suite 107, Johnson City, NY 13790-2060 | 2012-10-16 |
| 1972892602 | Nathan Major | Anesthesiology | 156 Corliss Ave, Suite 107, Johnson City, NY 13790-2060 | 2011-04-04 |
| 1306141940 | Therese F Oliver | Nurse Anesthetist, Certified Registered | 156 Corliss Ave, Suite 107, Johnson City, NY 13790-2060 | 2011-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248559 | Khia Ladawn Hudgins-smith | Counselor | 2700 S Roan St Ste 410, Johnson City, TN 37601-7638 | 2019-01-03 |
| 1063855575 | Kesha Brooke Brown | Counselor | 208 Quary Rd, Johnson City, TN 37601-7580 | 2013-04-15 |
| 1548514110 | Lawrence Rice | Counselor | 301 W Watauga Ave, Johnson City, TN 37604-5545 | 2012-11-05 |
| 1750668489 | Katherine Combs | Counselor | 4100 N Roan St Ste 214, Johnson City, TN 37601-1103 | 2011-11-09 |
| 1659686327 | Foundations for Life Principles/moral Kombat | Counselor | 2266 N Roan St, Johnson City, TN 37601-2527 | 2010-08-18 |
| 1104144922 | Julie Anna Sears | Counselor | 208 W Fairview Ave, Johnson City, TN 37604-5611 | 2010-05-05 |
| 1871725218 | Kristine Barbara Smith | Counselor | Lamont St & Veterans Way, Johnson City, TN 37604 | 2009-08-19 |
| 1598928350 | Heather Rena Hyder | Counselor | 109 E Watauga Ave, Johnson City, TN 37601-4675 | 2008-07-02 |
| 1083707913 | Keener Fryde Huneycutt | Counselor | 900 Buffalo St, Magnolia Ridge Treatment Center, Johnson City, TN 37604 | 2006-10-02 |
| 1457455131 | Wayne Keith Shorter II | Counselor | 109 W Watanga Ave, Johnson City, TN 37604 | 2006-09-12 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.