DR. LINDA J. KELLY (NPI# 1841397536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841397536 |
| Entity Type | Individual |
| Full Name | DR. LINDA J. KELLY |
| Credential | PH.D. |
| Practice Address |
10 Wilsey Sq Suite 274 Ridgewood NJ 07450-3792 |
| Mailing Address |
336 S Pleasant Ave Ridgewood NJ 07450-5334 |
| Practice Telephone | 2018592952 |
| Practice Fax Number | 2012513698 |
| Mailing Telephone | 2012511871 |
| Mailing Fax Number | 2012513698 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
3463 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659780385 | Linda Kelly | Massage Therapist | 334 Hillandale St, Round Lake, IL 60073-3318 | 2014-08-06 |
| 1487975744 | Linda Bridget Kelly | Counselor | 56 Cowles Avenue, Yonkers, NY 10704 | 2010-06-21 |
| 1700119682 | Linda K Kelly | Nurse Practitioner | 55 Friut Street, Boston, MA 02114-2621 | 2009-09-10 |
| 1932334307 | Linda L Kelly | Registered Nurse | 2741 Mason Rd, Waterville, NY 13480-2131 | 2009-05-28 |
| 1255450136 | Linda Faye Kelly | Nurse Practitioner | 100 W Grand Heights Rd, Memphis, TN 38109-7467 | 2007-03-29 |
| 1184781965 | Linda A. Kelly | Social Worker | 190 Goldens Bridge Court, Bedford Professional Bldg., Katonah, NY 10536 | 2007-01-02 |
| 1730640657 | Linda Kelly | Social Worker | 9 Blodget St, Manchester, NH 03104-3598 | 2019-03-26 |
| 1972947596 | Linda J Kelly | Social Worker | 1885 Ne Purcell Blvd, Bend, OR 97701-6022 | 2013-04-25 |
| 1114202645 | Linda Patricia Kelly | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 | 2011-10-16 |
| 1063790285 | Linda D Kelly | Nurse Practitioner | 331 Maine St, Suite 4, Brunswick, ME 04011-3358 | 2011-07-22 |
| Street Address |
10 WILSEY SQ SUITE 274 |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417938218 | Mary J Defranco | Podiatrist | 10 Wilsey Sq, Ridgewood, NJ 07450-3792 | 2005-11-09 |
| 1962723973 | Keri Lyn Kennedy | Behavioral Analyst | 10 Wilsey Sq, Suite 262, Ridgewood, NJ 07450-3792 | 2010-06-14 |
| 1518288521 | Eileen Boothe | Behavioral Analyst | 10 Wilsey Sq, Suite 262, Ridgewood, NJ 07450-3792 | 2010-06-14 |
| 1770795338 | Robert Sinclair | Dentist | 10 Wilsey Sq, Ridgewood, NJ 07450-3792 | 2007-05-04 |
| 1972721934 | Judith Ann Koch | Psychologist | 10 Wilsey Sq, Ridgewood, NJ 07450-3792 | 2007-04-23 |
| 1609937846 | John A. Caliso | Psychologist | 10 Wilsey Sq, Suite 232, Ridgewood, NJ 07450-3792 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720567258 | Akram Makar | Psychologist | 473 Broadway Ste 402, Bayonne, NJ 07002-3667 | 2018-08-06 |
| 1114374550 | Tolchin Psychological Services PC | Psychologist | 31 Taylor Dr, West Caldwell, NJ 07006-6918 | 2016-05-16 |
| 1790306512 | Centro Feed | Psychologist | 114 Forest View Dr, Avenel, NJ 07001-2184 | 2020-05-04 |
| 1326186149 | Janine Tremblay, Phd | Psychologist | 150 Madison Ave, Morristown, NJ 07960-6015 | 2007-02-02 |
| 1013065432 | John F Mcinerney Phd LLC | Psychologist | 211 S Main Street, Suite 301, Cape May Court House, NJ 08210-2264 | 2007-01-08 |
Please comment or provide details below to improve the information on DR. LINDA J. 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.