DR. JANE ALBERTSON KELLY (NPI# 1699972620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699972620 |
| Entity Type | Individual |
| Full Name | DR. JANE ALBERTSON KELLY |
| Other Name | MS. JANE ALBERTSON |
| Credential | PHD |
| Practice Address |
811 West Jericho Turnpike Suite 106e Smithtown NY 11787 |
| Mailing Address |
8 Valleywood Ct W St James NY 11787 |
| Practice Telephone | 6312659850 |
| Practice Fax Number | 6312659852 |
| Mailing Telephone | 6318627247 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 100123 | NY | Behavioral Health & Social Service Providers |
| Street Address |
811 WEST JERICHO TURNPIKE SUITE 106E |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962609990 | Barbara Burkhard | Psychologist | 811 West Jericho Turnpike, Suite 106e, Smithtown, NY 11787 | 2007-07-02 |
| 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 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477993178 | Gregory Digiacomo | Psychologist | 29 Abbot Rd, Smithtown, NY 11787-2322 | 2013-06-27 |
| 1659516276 | Deborah Serani | Psychologist | 12 Ivy Hill Dr, Smithtown, NY 11787-4004 | 2008-12-10 |
| 1174718597 | John Peter Kelly | Psychologist | 267 Middle Country Rd, Smithtown, NY 11787-2874 | 2007-09-10 |
| 1841496270 | Matthew Gibson Campbell | Psychologist | 22 Lawrence Ave Ste 304, Smithtown, NY 11787-3619 | 2007-06-22 |
| 1669507216 | Lisa R. Cane | Psychologist | 21 Redwood Lane, Smithtown, NY 11787 | 2007-02-23 |
| 1194865923 | Barbara Denise Whiteside | Psychologist | 10 Clearbrook Dr, Smithtown, NY 11787-4805 | 2007-02-08 |
| 1780772228 | Patricia C Dowds | Psychologist | 39 Landing Ave, Smithtown, NY 11787-2710 | 2006-10-10 |
| 1851303861 | Louis Joseph Gallagher | Psychologist | 22 Lawrence Ave, Suite 213, Smithtown, NY 11787-3619 | 2006-08-12 |
| 1215245220 | Andreas Costas Michaelides | Psychologist | 373 Route 111, Suite 10, Smithtown, NY 11787-4759 | 2010-09-24 |
| 1730368663 | Deena Abbe | Psychologist | 496 Smithtown Byp, Suite304, Smithtown, NY 11787-5005 | 2007-10-27 |
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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.