STEPHANIE KELLY (NPI# 1740760420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740760420 |
Entity Type | Individual |
Full Name | STEPHANIE KELLY |
Practice Address |
1819 S Dobson Rd Ste 115 Mesa AZ 85202-5656 |
Mailing Address |
2093 N Illinois St Chandler AZ 85225-2978 |
Practice Telephone | 4807871955 |
Enumeration Date | 2018-08-21 |
Last Update Date | 2018-08-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LAC-16705 | AZ | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982067195 | Stephanie Marie Kelly | Licensed Practical Nurse | 5626 Bunbury Ter, Clay, NY 13041-6910 | 2016-04-04 |
1154766186 | Stephanie Albers Kelly | Technician | 2685 Leeds Ave, North Charleston, SC 29405-6861 | 2013-05-03 |
1710117700 | Stephanie Kelly | Physical Therapist | 11 Carnegie Ave, Street Line 2, Cold Spring Harbor, NY 11724-2016 | 2009-07-23 |
1619508017 | Stephanie Ann Kelly | Counselor | 207 W Morgan St, Brandon, FL 33510-4429 | 2020-02-04 |
1497296362 | Stephanie Lynn Kelly | Nurse Practitioner | 4475 S I 19 Frontage Rd Ste 139, Green Valley, AZ 85614-5884 | 2017-03-13 |
1528417912 | Stephanie Beth Hampel Kelly | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2016-06-07 |
1780012484 | Stephanie Lyn Kelly | Marriage & Family Therapist | 2258 Camino Ramon, San Ramon, CA 94583-1353 | 2013-10-16 |
1578999322 | Stephanie Lynn Kelly | Physician Assistant | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2013-09-24 |
1487920849 | Stephanie L Kelly | Registered Nurse | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2012-03-29 |
1447574595 | Stephanie Kelly | Psychologist | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2010-03-18 |
Street Address |
1819 S DOBSON RD STE 115 |
City | MESA |
State | AZ |
Zip Code | 85202-5656 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437765674 | Meghan Cathleen Gascoigne | Counselor | 1819 S Dobson Rd Ste 115, Mesa, AZ 85202-5656 | 2020-09-22 |
1245896984 | Nathan Verschaetse | Psychologist | 1819 S Dobson Rd Ste 115, Mesa, AZ 85202-5656 | 2019-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
Find all providers in zip 85202 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496054 | Ryse Therapeutic Counseling LLC | Counselor | 461 W Holmes Ave Unit 181, Mesa, AZ 85210-5181 | 2020-10-27 |
1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
1467060350 | Torch Wellness and Consulting LLC | Counselor | 3707 E Southern Ave Ste 1029, Mesa, AZ 85206-6202 | 2020-07-16 |
1750904736 | Colin Bennett | Counselor | 1234 S Power Rd Ste 100, Mesa, AZ 85206-3740 | 2020-05-25 |
1386267508 | Devyn H Davis | Counselor | 30 E Brown Rd Unit 1054, Mesa, AZ 85201-3527 | 2020-05-21 |
1376165266 | Therapy LLC | Counselor | 1818 E Southern Ave Ste 3a, Mesa, AZ 85204-5247 | 2020-05-13 |
1902432107 | Connie Rae Parker | Counselor | 1955 S Val Vista Dr, Mesa, AZ 85204-7370 | 2020-03-19 |
1265065544 | Phillip Micheal Garrison | Counselor | 1741 S Clearview Ave Unit 7, Mesa, AZ 85209-4005 | 2020-02-14 |
1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
1053951913 | Candace Delight Cook | Counselor | 3707 E Southern Ave Ste 2016, Mesa, AZ 85206-6213 | 2020-01-08 |
Find all providers in MESA |
Please comment or provide details below to improve the information on STEPHANIE 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.