KELLY SASS


Address: 11 Route 111, Smithtown, NY 11787-3754
Phone: 6319208351

KELLY SASS (NPI# 1659981470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659981470
Entity Type Individual
Full Name KELLY SASS
Practice Address 11 Route 111
Smithtown
NY 11787-3754
Practice Telephone 6319208351
Mailing Telephone 6319208351
Enumeration Date 2020-08-06
Last Update Date 2020-11-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 667614 NY Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
403199 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11 ROUTE 111
City SMITHTOWN
State NY
Zip Code 11787-3754

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841200011 Tara Marie Brunswick Social Worker 11 Route 111, Smithtown, NY 11787-3712 2006-08-09
1528667565 Aleah Sophia Innis Student in an Organized Health Care Education/Training Program 11 Route 111, Smithtown, NY 11787-3754 2020-10-21
1174120018 Andrea Lynn Crisci Student in an Organized Health Care Education/Training Program 11 Route 111, Smithtown, NY 11787-3754 2020-10-05
1811504491 Katie Hodgson Student in an Organized Health Care Education/Training Program 11 Route 111, Smithtown, NY 11787-3754 2020-09-28
1588298731 New Horizons Social Worker 11 Route 111, Smithtown, NY 11787-3754 2020-02-26
1972135481 April Marie Lee Registered Nurse 11 Route 111, Smithtown, NY 11787-3754 2020-02-12
1538791702 Talia Renee Hughes Student in an Organized Health Care Education/Training Program 11 Route 111, Smithtown, NY 11787-3754 2020-02-06
1861032260 Maryclare Anderson Case Manager/Care Coordinator 11 Route 111, Smithtown, NY 11787-3754 2020-01-14
1770123184 Guillermo F Sandoval Social Worker 11 Route 111, Smithtown, NY 11787-3754 2020-01-14
1437799509 Dani Mason Case Manager/Care Coordinator 11 Route 111, Smithtown, NY 11787-3754 2020-01-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962779 Gwendolyn Burris Counselor 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 2020-11-04
1467051193 Karin M Caro Adult Companion 9 Three Pond Road, Smithtown, NY 11787 2020-10-23
1639706641 Nimit Khara Student in an Organized Health Care Education/Training Program 240 Middle Country Rd A, Smithtown, NY 11787 2020-03-27
1003469032 Maria Teresa Gardella Nurse Practitioner St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 2019-07-18
1558922070 Pamella Ann Grillo Physician Assistant 373 Ny-111 #5, Smithtown, NY 11787 2019-06-25
1306308127 Sherry Hansen Social Worker 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 2019-04-01
1932663747 Kayla Roundsman Counselor 11 Route 11, Smithtown, NY 11787 2019-01-25
1568959856 Moreen Johnson Registered Nurse Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 2018-04-23
1992217871 Erica Zeller Licensed Clinical Social Work Pllc Social Worker 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 2017-10-31
1881117802 Oisin Vincent Keenan Case Manager/Care Coordinator 11 Ny-111, Smithtown, NY 11787 2017-07-21
Find all providers in zip 11787

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306249735 Janine Desimone Nurse Practitioner 20 Gilbert Ave Ste 202, Smithtown, NY 11787 2014-09-30
1679871032 Bernadette Barron Nurse Practitioner 1 Cresthill Pl, Smithtown, NY 11787-3703 2011-03-09
1679606784 Lorraine Ricciardi Golden Nurse Practitioner 99 Hollywood Dr., Smithtown, NY 11787 2007-03-14
1366507345 Barbara Ruth Sprung Nurse Practitioner 412 Sunset Ln, Smithtown, NY 11787-4422 2006-12-27
1326052333 Catherine Zillmann Nurse Practitioner 363 Route 111 Ste 103, Smithtown, NY 11787-4750 2006-07-27
1578513107 Catherine Bridget O'brien Nurse Practitioner 637 Veterans Hwy, Smithtown, NY 11787-4309 2006-05-12
1194337253 Eva Dziergowska Nurse Practitioner 363 Route 111, Smithtown, NY 11787-4756 2020-08-20
1992320725 Thao Nguyen Nurse Practitioner In Psychiatry PC Nurse Practitioner 88 Terry Rd, Smithtown, NY 11787-3811 2020-06-08
1942864640 Lauren Tita Nurse Practitioner 222 E Middle Country Rd Ste 310, Smithtown, NY 11787-2814 2019-04-28
1518452390 Christina Stern Nurse Practitioner 222 E Middle Country Rd Ste 210, Smithtown, NY 11787-2814 2018-06-25
Find all providers in SMITHTOWN

Competitor

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City SMITHTOWN
Zip Code 11787

Improve Information

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Dataset Information

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.

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