DR. KELLY BEAKLEY LANE (NPI# 1861745440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861745440 |
Entity Type | Individual |
Full Name | DR. KELLY BEAKLEY LANE |
Credential | PSY.D. |
Practice Address |
18 N Hanson St Easton MD 21601-3176 |
Practice Telephone | (410) 443-5527 |
Mailing Telephone | 4104435527 |
Enumeration Date | 2012-10-19 |
Last Update Date | 2018-10-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
05234 | MD | Behavioral Health & Social Service Providers |
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
05234 | MD | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
7 Papermill St, Easton, MD 216012527 | 4104435527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427572163 | Kelly Michele Lane | Specialist/Technologist | 300 W Main St Apt 2b, Springport, MI 49284-9517 | 2017-08-02 |
1790025526 | Kelly Lane | Registered Nurse | 1327 Garfield Ave, Sidney, OH 45365-1723 | 2013-02-14 |
1962439737 | Kelly A Lane | Nurse Practitioner | 147 Parliament Loop Ste 1005, Lake Mary, FL 32746-3560 | 2006-06-27 |
1154376192 | Kelly M Lane | Anesthesiologist Assistant | 6326 Hospital Pkwy, Building 1000, Suite 111, Johns Creek, GA 30097 | 2006-05-24 |
1225594005 | Kelly Lane | Counselor | 7821 N Dale Mabry Hwy, Tampa, FL 33614-3275 | 2019-02-16 |
1740704535 | Kelly Shea Lane | Physical Therapist | 1702 Hillcrest Dr, Bellevue, NE 68005-3652 | 2017-08-02 |
1124474119 | Kelly M Lane | Counselor | 501 N Monroe St, Hutchinson, KS 67501-1345 | 2016-05-09 |
1952765745 | Kelly Lane | Physician Assistant | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2016-04-08 |
1538525738 | Kelly Lane | Counselor | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2016-01-05 |
1669756375 | Kelly Ann Lane | Licensed Practical Nurse | 2400 S 48th St, Springdale, AR 72762-6683 | 2011-09-30 |
Street Address |
18 N HANSON ST |
City | EASTON |
State | MD |
Zip Code | 21601-3176 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356367346 | Virginia B Blatchley | Psychologist | 18 N Hanson St, Mill Place II, Suite 1, Easton, MD 21601-3134 | 2006-07-14 |
1396943510 | International Hearing System, Inc. | Hearing Aid Equipment | 18 N Hanson St, Suite 3, Easton, MD 21601-3176 | 2007-07-10 |
1730384710 | Mark D Harrison | Hearing Instrument Specialist | 18 N Hanson St, Suite 3, Easton, MD 21601-3134 | 2007-06-19 |
1023037728 | Elizabeth C Koprowski | Psychologist | 18 N Hanson St, Mill Place II, Suite 1, Easton, MD 21601-3134 | 2006-07-19 |
1255350955 | Robert J Blatchley | Psychologist | 18 N Hanson St, Mill Place II, Suite 1, Easton, MD 21601-3134 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
Find all providers in zip 21601 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750998829 | Anna Elizabeth Pozzatti | Psychologist | 11140 Rockville Pike Ste 530&550e, Rockville, MD 20852-3106 | 2020-09-23 |
1356969802 | Together We Rise LLC | Psychologist | 1014 W 36th St, Baltimore, MD 21211-2415 | 2020-07-10 |
1336769561 | Breakthrough Therapeutic Concepts, LLC. | Psychologist | 408 Crain Hwy S Ste 6, Glen Burnie, MD 21061-3661 | 2020-04-17 |
1033772272 | Stephanie Judd | Psychologist | 3901 Rosemary St, Chevy Chase, MD 20815-5223 | 2019-04-14 |
1942794870 | Annie Rabinovitch | Psychologist | 1132 Annapolis Rd Ste 200, Odenton, MD 21113-1673 | 2018-06-14 |
1972094167 | Bk Behavioral Health Center | Psychologist | 14300 Cherry Lane Ct # 202-203, Laurel, MD 20707-4958 | 2018-05-23 |
1477938215 | Deborah A Odonnell, Phd, Clinical Psychologist, LLC | Psychologist | 41660 Courthouse Dr # 201c, Leonardtown, MD 20650-3887 | 2015-07-22 |
1336535319 | Roderick Irving Wellington | Psychologist | 7050 Chesapeake Rd, Suite 104, Landover Hills, MD 20784-2347 | 2015-04-07 |
1225438344 | Marjorie Katherine Mccalla | Psychologist | 720 Aliceanna St, Baltimore, MD 21202-4387 | 2014-08-26 |
1992122923 | Kendel Wylie-pugh | Psychologist | 4309 Travancore Ct, Randallstown, MD 21133-1315 | 2014-03-27 |
Find all providers with the same taxonomy |
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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.