DR. CARRIE KELLEY (NPI# 1780737528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780737528 |
| Entity Type | Individual |
| Full Name | DR. CARRIE KELLEY |
| Credential | PSYD |
| Practice Address |
275 E South Temple Suite 101 Salt Lake City UT 84111-1247 |
| Practice Telephone | 8019990639 |
| Practice Fax Number | 8001364143 |
| Mailing Telephone | 8019990639 |
| Mailing Fax Number | 8001364143 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2009-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
70077562501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336396365 | Carrie Kelley | Rehabilitation Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2008-08-21 |
| 1710180625 | Carrie Holowecki Kelley | Social Worker | 48 Cedar St, Amesbury, MA 01913 | 2007-06-07 |
| Street Address |
275 E SOUTH TEMPLE SUITE 101 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992891097 | Carolyn K Scott | Social Worker | 275 E South Temple, Suite #101, Salt Lake City, UT 84111-1247 | 2006-10-05 |
| 1750826913 | Kathleen Fitzwilliam Lakey LLC | Social Worker | 275 E South Temple, Suite 101, Salt Lake City, UT 84111-1247 | 2016-12-27 |
| 1184048043 | Kathleen Fitzwilliam Lakey | Social Worker | 275 E South Temple, Ste 101, Salt Lake City, UT 84111-1247 | 2014-02-13 |
| 1629325097 | Camille Delong | Marriage & Family Therapist | 275 E South Temple, Suite 101, Salt Lake City, UT 84111-1247 | 2012-08-05 |
| 1548537749 | Kristin Lang Hansen | Psychologist | 275 E South Temple, Suite 101, Salt Lake City, UT 84111-1247 | 2011-11-16 |
| 1275846412 | Patrick Joseph Lewis | Psychologist | 275 E South Temple, Ste 150, Salt Lake City, UT 84111-1270 | 2010-07-16 |
| 1366591489 | Marybeth Raynes | Social Worker | 275 E South Temple, Suite 101, Salt Lake City, UT 84111-1247 | 2007-01-09 |
| 1306900071 | Carolyn K Scott Lcsw PC | Social Worker | 275 E South Temple, Suite #101, Salt Lake City, UT 84111-1247 | 2006-12-20 |
| 1912060104 | Leni Quarnberg | Marriage & Family Therapist | 275 E South Temple, Suite 101, Salt Lake City, UT 84111-1247 | 2006-12-18 |
| 1093883027 | Amanda Ann Andrus | Social Worker | 275 E South Temple, Suite 101, Salt Lake City, UT 84111-1247 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780230433 | Carolynne Elizabeth Baron | Psychologist | Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2019-08-16 |
| 1083133938 | Dio Turner II | Psychologist | 1060 E 100 S Ste 100, Salt Lake City, UT 84102-1582 | 2017-09-12 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1205202355 | Laura Rowley | Psychologist | 170 S 1000 E Ste 201, Salt Lake City, UT 84102-1403 | 2015-08-12 |
| 1275916223 | Amy Bonifay Russell | Psychologist | 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 | 2015-07-08 |
| 1952710071 | The Pearce Institute of Child and Family Psychology, LLC | Psychologist | 231 E 2100 S, Suite 203, Salt Lake City, UT 84115-2187 | 2014-08-04 |
| 1053728105 | Margaret Ruth Moore | Psychologist | 1726 E Michigan Ave, Salt Lake City, UT 84108-1320 | 2014-07-21 |
| 1316360225 | Amanda Lorraine Rapacz | Psychologist | 239 E Belmont Ave, Salt Lake City, UT 84111-4619 | 2014-01-28 |
| 1134566904 | Allison Marie Smith | Psychologist | 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 | 2013-06-03 |
| 1558611970 | New Life Balance, LLC | Psychologist | 2689 S Highland Dr, Salt Lake City, UT 84106-2774 | 2012-09-13 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on DR. CARRIE KELLEY.
| 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.