SHANNON KELLEY (NPI# 1740500412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740500412 |
| Entity Type | Individual |
| Full Name | SHANNON KELLEY |
| Credential | PSY.D. |
| Practice Address |
1250 S Cedar Crest Blvd Ste 410 Allentown PA 18103-6224 |
| Mailing Address |
1605 N Cedar Crest Blvd Ste 411 Allentown PA 18104-2323 |
| Practice Telephone | 6104023500 |
| Practice Fax Number | 6104023505 |
| Mailing Telephone | 6109691914 |
| Mailing Fax Number | 6109693951 |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS018289 | PA | Behavioral Health & Social Service Providers |
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
PS018289 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598284275 | Shannon Kelley | Occupational Therapist | 3800 Nicholasville Rd Apt 11430, Lexington, KY 40503-6351 | 2017-09-14 |
| 1700153327 | Shannon Marie Kelley | Behavioral Analyst | 10530 Warwick Ave, Suite C5, Fairfax, VA 22030-3132 | 2011-11-28 |
| 1902089238 | Shannon Kathleen Kelley | Social Worker | 650 Madison St, Syracuse, NY 13210-2319 | 2007-12-10 |
| 1730701871 | Shannon M Kelley | Advanced Practice Midwife | 55 Fruit St, Boston, MA 02114-2696 | 2020-05-12 |
| 1932637717 | Shannon E Kelley | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2017-05-24 |
| 1619339132 | Shannon Kelley | Pharmacist | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2016-03-23 |
| 1639537913 | Shannon Kelley | Case Management | 4250 Woodward Ave, Detroit, MI 48201-1818 | 2016-02-02 |
| 1700267705 | Shannon Kelley | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2015-06-15 |
| 1467897165 | Shannon Kelley | Counselor | 1020 Riverwood Ct, Bldg 1, Conroe, TX 77304-2811 | 2013-05-08 |
| 1992056063 | Shannon Dunn Kelley | Physical Therapist | 1012 S Crowley Rd, # C, Crowley, TX 76036-3664 | 2012-09-28 |
| Street Address |
1250 S CEDAR CREST BLVD STE 410 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437104486 | Teresa Anna Duda | Social Worker | 1250 S Cedar Crest Blvd Ste 410, Allentown, PA 18103-6224 | 2006-05-24 |
| 1033578836 | Lyssa Gagnon | Psychologist | 1250 S Cedar Crest Blvd Ste 410, Allentown, PA 18103-6224 | 2016-02-22 |
| 1801802921 | Susan Marie Ingram | Clinical Neuropsychologist | 1250 S Cedar Crest Blvd Ste 410, Allentown, PA 18103-6224 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494749 | Zachary Seth Stern | Psychologist | 225 N Broad St, Allentown, PA 18104-5347 | 2020-07-06 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1952706459 | Christine Haasz | Psychologist | 2132 S 12th St Ste 402, Allentown, PA 18103-4810 | 2014-10-27 |
| 1295162949 | Robin L Carosella | Psychologist | 1251 S Cedar Crest Blvd Ste 211d, Allentown, PA 18103-6214 | 2013-09-26 |
| 1972898898 | Alla Bottoni Gordon | Psychologist | 1259 S Cedar Crest Blvd Ste 325, Allentown, PA 18103-6375 | 2011-06-20 |
| 1285860197 | Christine Emily Gorigoitia-wittenberg | Psychologist | 2700 N Cedar Crest Blvd, Allentown, PA 18104-9735 | 2009-06-05 |
| 1508005935 | Laura Tahir | Psychologist | 3 S Main St # 694, Allentown, NJ 08501-1683 | 2009-02-09 |
| 1609099514 | Chester Sigafoos | Psychologist | 235 Province Line Rd, Allentown, NJ 08501-1401 | 2007-04-10 |
| 1952451189 | Carol B Laurenzano | Psychologist | 415 N Ott St, Allentown, PA 18104-4834 | 2007-01-11 |
| 1558326033 | James M Perkin | Psychologist | 4825 Tilghman St, Allentown, PA 18104 | 2006-04-19 |
| Find all providers in ALLENTOWN | ||||
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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.