DR. KELLY K STANKIEWICZ


Address: 21 E High St, Somerville, NJ 08876-2320
Phone: 9083071842

DR. KELLY K STANKIEWICZ (NPI# 1891923645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891923645
Entity Type Individual
Full Name DR. KELLY K STANKIEWICZ
Other Name KELLY K KOUKOS
Credential PHD
Practice Address 21 E High St
Somerville
NJ 08876-2320
Practice Telephone 9083071842
Mailing Telephone 9083071842
Enumeration Date 2009-06-30
Last Update Date 2014-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist PS016490 PA Behavioral Health & Social Service Providers
Y 103T00000X Psychologist 35SI00468300 NJ Behavioral Health & Social Service Providers

Other Providers KELLY STANKIEWICZ

NPI Name Taxonomy Address Enumeration
1598987307 Kelly J. Stankiewicz Dermatology 2155 City Gate Ln Ste 225, Naperville, IL 60563-7770 2007-05-02

Office Location

Street Address 21 E HIGH ST
City SOMERVILLE
State NJ
Zip Code 08876-2320

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629084256 Nancy C Hollmann Psychologist 21 E High St, Somerville, NJ 08876-2320 2006-08-01
1730713421 A New Way Counseling and Psychotherapy LLC Clinic/Center 21 E High St, Somerville, NJ 08876-2320 2020-03-03
1639536154 Beth V. Campbell Social Worker 21 E High St, Somerville, NJ 08876 2016-01-28
1205215670 Siobhan Berger Counselor 21 E High St, Somerville, NJ 08876-2320 2015-05-19
1750616983 Center for Counseling & Personal Growth, LLC Counselor 21 E High St, Somerville, NJ 08876-2320 2009-10-06
1124353545 Kris C Stankiewicz Psychologist 21 E High St, Somerville, NJ 08876-2320 2009-10-04
1033249537 Cara Seroy Psychologist 21 E High St, Somerville, NJ 08876-2320 2007-03-06
1811035868 Carole A Doorley Social Worker 21 E High St, Somerville, NJ 08876-2320 2007-02-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730728999 Christine Paige Robbins Speech-Language Pathologist 21 E High St, 2nd Floor, Somerville, NJ 08876 2020-01-04
1043861339 County of Somerset Public Health or Welfare 27 Warren Street, 3rd Floor, Somerville, NJ 08876 2019-09-27
1275098840 Ruth Leslie Goldsmith Social Worker 134 W End Ave Fl 2, Somerville, NJ 08876 2019-02-07
1114417524 Dae Kim Student in an Organized Health Care Education/Training Program Somerset Family Practice, 110 Rehill Avenue, Somerville, NJ 08876 2018-05-11
1881195881 Fisayo Tunde Obstetrics & Gynecology 3322 Us Highway 22 Ste 1302, Branchburg, NJ 08876 2018-02-24
1972026268 Deirdre Mccarthy Physical Therapist 18 Sunset St., Branchburg, NJ 08876 2017-07-19
1649719964 Alternatives, Inc. Community/Behavioral Health 85-87 Fairview Ave., Somerville, NJ 08876 2017-02-20
1083153308 Jing Acupuncture Service LLC Acupuncturist 3322 Us Highway 22, Bldg 8, 805, Branchburg, NJ 08876 2017-02-20
1326590548 Physicians Dialysis Somerville, LLC Clinic/Center 1 Route 206, North, Somerville, NJ 08876 2016-11-04
1548501679 Bilal Mian Md Pa Psychiatry & Neurology 310 East Mian St, Somerville, NJ 08876 2013-03-14
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710453162 Saba Khan Psychologist 134 W End Ave Fl 1, Somerville, NJ 08876-1816 2018-10-23
1497131973 Jaclin Gerstel-friedman Psychologist 32 Warren Ave Apt 2, Somerville, MA 02143-3044 2015-08-06
1205124948 Selda Celen-demirtas Psychologist 61 Roseland St Ste 2, Somerville, MA 02143-3536 2011-07-15
1306130018 Emily Elizabeth Wheeler Psychologist 259 Elm St Ste 201, Somerville, MA 02144 2011-05-31
1487986485 Marc David Geller Psychologist 337 East Main Street, Somerville, NJ 08876-3109 2010-02-02
1487844569 Susan Hale Zeichner Psychologist 68 Josephine Ave, Somerville, MA 02144-2207 2007-07-26
1275754863 Diya Kallivayalil Psychologist Victims of Violence Program, 26 Central Street, Somerville, MA 02143 2007-05-01
1295875011 Katherine Tracy Munn Psychologist 1 Fitchburg St, #c410, Somerville, MA 02143-2136 2007-02-08
1891849345 Lee Geltman Psychologist 240 A Elm St., Journey Women, Somerville, MA 02144 2007-01-22
1831255967 Timothy John Butler Psychologist 15 Eastman Rd, Somerville, MA 02143-1305 2007-01-01
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Competitor

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City SOMERVILLE
Zip Code 08876

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Dataset Information

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.

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