KELLY ROSE ILSLEY (NPI# 1689906604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689906604 |
| Entity Type | Individual |
| Full Name | KELLY ROSE ILSLEY |
| Credential | PSYD, ABPP, BCBA-D |
| Practice Address |
11120 S Crown Way Ste 1 Wellington FL 33414-8718 |
| Practice Telephone | 5617901191 |
| Mailing Telephone | 5617901191 |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY7971 | FL | Behavioral Health & Social Service Providers |
| Street Address |
11120 S CROWN WAY STE 1 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-8718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225075229 | Kerry Cotler | Psychologist | 11120 S Crown Way Ste 1, Wellington, FL 33414-8718 | 2006-05-31 |
| 1689297897 | Ann Hornick Geismar | Social Worker | 11120 S Crown Way Ste 1, Wellington, FL 33414-8718 | 2020-05-21 |
| 1518589969 | Evan Brown | Psychologist | 11120 S Crown Way Ste 1, Wellington, FL 33414-8718 | 2020-05-08 |
| 1649804675 | Meredith Chrystie | Social Worker | 11120 S Crown Way Ste 1, Wellington, FL 33414-8718 | 2020-02-28 |
| 1497386726 | Rachel Elkins | Psychologist | 11120 S Crown Way Ste 1, Wellington, FL 33414-8718 | 2020-01-27 |
| 1851946552 | Alia Goucher | Social Worker | 11120 S Crown Way Ste 1, Wellington, FL 33414-8718 | 2019-08-08 |
| 1225683931 | Annette Nagle | Psychologist | 11120 S Crown Way Ste 1, Wellington, FL 33414-8718 | 2019-08-08 |
| 1609437433 | Deborah Duvall | Social Worker | 11120 S Crown Way Ste 1, Wellington, FL 33414-8718 | 2019-06-24 |
| 1194385369 | Jacob Galles | Psychologist | 11120 S Crown Way Ste 1, Wellington, FL 33414-8718 | 2019-06-19 |
| 1962062521 | Marisol Blanco | Psychologist | 11120 S Crown Way Ste 1, Wellington, FL 33414-8718 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528691573 | Charmion Singh | Psychologist | 2604 Yarmouth Dr, Wellington, FL 33414-7649 | 2020-02-18 |
| 1720281769 | Kathleen A Terhune | Psychologist | 113 E Lincoln Ave, Wellington, KS 67152-3046 | 2007-06-07 |
| 1447477278 | Jose Enrique Rivera | Psychologist | 10111 West Forest Hill Blvd., Suite 160, Wellington, FL 33414 | 2007-04-20 |
| 1033230362 | Sandy Faye Adams | Psychologist | 117 S State Road 7, Suite 201, Wellington, FL 33414-4338 | 2007-04-03 |
| 1972635605 | April Kassover | Psychologist | 12773 West Forest Hill Blvd, Suite 214, Wellington, FL 33414 | 2007-03-09 |
| 1073612404 | Michael H Rathjens | Psychologist | 12012 South Shore Blvd., Suite 108, Wellington, FL 33414 | 2006-09-22 |
| 1609973593 | Harvey A Klein | Psychologist | 13133 Doubletree Cir, Wellington, FL 33414-4038 | 2006-09-20 |
| 1225075229 | Kerry Cotler | Psychologist | 11120 S Crown Way Ste 1, Wellington, FL 33414-8718 | 2006-05-31 |
| 1922078179 | Majid A Shams | Psychologist | 1035 S State Road 7, Suite 315-11, Wellington, FL 33414-6134 | 2006-01-23 |
| 1518589969 | Evan Brown | Psychologist | 11120 S Crown Way Ste 1, Wellington, FL 33414-8718 | 2020-05-08 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on KELLY ROSE ILSLEY.
| 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.