MS. KELLY SHELBY (NPI# 1902287543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902287543 |
| Entity Type | Individual |
| Full Name | MS. KELLY SHELBY |
| Practice Address |
16929 Harvard Ave Hayward CA 94541-1350 |
| Mailing Address |
1290 26th Avenue Oakland CA 94601 |
| Practice Telephone | 5104965140 |
| Practice Fax Number | 5104965146 |
| Mailing Telephone | 5104965140 |
| Mailing Fax Number | 5104965146 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P0810281124 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881994754 | Kelly Shelby | Physician Assistant | 100 E Lancaster Ave Ste 275, Wynnewood, PA 19096 | 2010-10-26 |
| Street Address |
16929 HARVARD AVE |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518492057 | Carrie Nadelhoffer | Counselor | 15655 W County Highway B, Hayward, WI 54843-2680 | 2017-04-21 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1205189545 | Melinda L Johnson | Counselor | 10752 Beal Ave, Hayward, WI 54843-6435 | 2012-10-24 |
| 1609198027 | Great Lakes Mental Health Center | Counselor | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2010-02-26 |
| 1740760792 | Aimen Bukhari | Counselor | 2595 Depot Rd, Hayward, CA 94545-2341 | 2018-08-20 |
| 1497274591 | Paul David Workman | Counselor | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2017-09-11 |
| 1184007387 | Karen Corpuz | Counselor | 1065 A St, Hayward, CA 94541-4122 | 2015-07-07 |
| 1861826299 | Adriana Portillo Gonzalez | Counselor | 21455 Birch St, Ste 201, Hayward, CA 94541-2165 | 2013-08-21 |
| 1124451174 | Deborah Schlapper | Counselor | 15655 W County Road B, Hayward, Hayward, WI 54843-2680 | 2013-08-14 |
| Find all providers in HAYWARD | ||||
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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.