DR. JAMES AUSTIN KELLY (NPI# 1710183892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710183892 |
Entity Type | Individual |
Full Name | DR. JAMES AUSTIN KELLY |
Credential | PSY.D. |
Practice Address |
4328 Circle Ave Castro Valley CA 94546-4648 |
Mailing Address |
4713 1st St Suite 242 Pleasanton CA 94566-7361 |
Practice Telephone | 9253375919 |
Mailing Telephone | 9253375919 |
Enumeration Date | 2007-06-25 |
Last Update Date | 2012-03-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083221949 | James Edward Kelly Jr. | Occupational Therapist | 45 Montcalm St, Ticonderoga, NY 12883-1343 | 2020-09-25 |
1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
1902328032 | James Kelly | Physician Assistant | 8200 Henry Ave Ste G1, Philadelphia, PA 19128-2953 | 2017-07-11 |
1245782408 | James Kelly | Psychologist | 170 Pearl St Se, Atlanta, GA 30316-1247 | 2016-11-03 |
1104215300 | James Kelly | Physical Therapist | 8937 Woodman Way, Sacramento, CA 95826-2140 | 2015-01-12 |
1447543087 | James Anthony Kelly | Family Medicine | 517 North Center St, Sabinal, TX 78881 | 2011-05-16 |
1184879983 | James Aaron Kelly | Dentist | 10833 Le Conte Avenue Room A0-156b Chs, Uc Regents Maxillofacial Prosthodontics, Los Angeles, CA 90095-1668 | 2008-11-20 |
1598930711 | James Christopher Kelly | Anesthesiology | 222 N 5th St Ste 202, Martins Ferry, OH 43935-1582 | 2008-04-29 |
1952592735 | James Gerard Kelly | Licensed Practical Nurse | 120 Loperwood Ln, Lagrange, OH 44050-9756 | 2007-08-06 |
1568669653 | James Edward Kelly | Psychiatry & Neurology | 29466-5 Pintail Drive, Easton, MD 21601 | 2007-07-02 |
Street Address |
4328 CIRCLE AVE |
City | CASTRO VALLEY |
State | CA |
Zip Code | 94546-4648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
Find all providers in zip 94546 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649839770 | Sophora Acheson | Counselor | 20880 Baker Rd, Castro Valley, CA 94546-5729 | 2019-06-12 |
1790230746 | Shaylja Singh | Counselor | 17847 Redwood Rd, Castro Valley, CA 94546-1437 | 2016-08-19 |
1497121297 | Sequoyah Counseling Center | Counselor | 21168 Redwood Rd Ste 100a, Castro Valley, CA 94546-5932 | 2015-08-15 |
1407266158 | Alexander Thorndike Sprague | Counselor | 19910 Edwin Markham Dr, Castro Valley, CA 94552-5060 | 2014-05-03 |
1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
1841591302 | Elizabeth F Nettles | Counselor | 3447 Redwood Ct Apt B, Castro Valley, CA 94546-5841 | 2010-11-15 |
1225266950 | Carole L Vanderbilt | Counselor | 21314 Gary Dr Apt 201, Castro Valley, CA 94546-6129 | 2009-07-01 |
1679724454 | Sonja Schaff Cortopassi | Counselor | 21870 Ada St, Castro Valley, CA 94546-6304 | 2008-10-09 |
1588839716 | Rex Sagayaga | Counselor | 5248 Crane Ave, Castro Valley, CA 94546-2532 | 2008-04-29 |
1568661825 | Sharon Irene Christensen | Counselor | 10303 Cull Canyon Rd, Castro Valley, CA 94552-9523 | 2007-07-16 |
Find all providers in CASTRO VALLEY |
City | CASTRO VALLEY |
Zip Code | 94546 |
Please comment or provide details below to improve the information on DR. JAMES AUSTIN KELLY.
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.