KELLEN DEAN (NPI# 1962010199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962010199 |
| Entity Type | Individual |
| Full Name | KELLEN DEAN |
| Practice Address |
101 E Broadway Ave Bloomfield NM 87413-6235 |
| Practice Telephone | 5053308220 |
| Mailing Telephone | 5059474384 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
101 E BROADWAY AVE |
| City | BLOOMFIELD |
| State | NM |
| Zip Code | 87413-6235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774312 | Maisie Vigil | Social Worker | 101 E Broadway Ave, Bloomfield, NM 87413-6235 | 2020-06-16 |
| 1649704925 | Sadie L Smith-mcdaniel | Community/Behavioral Health | 101 E Broadway Ave, Bloomfield, NM 87413-6235 | 2017-04-13 |
| 1528461159 | Sadie L Smith-mcdaniel | Counselor | 101 E Broadway Ave, Bloomfield, NM 87413-6235 | 2014-09-26 |
| 1578874574 | Paula Renee Jackson | Behavioral Analyst | 101 E Broadway Ave, Bloomfield, NM 87413-6235 | 2010-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1104292325 | Michelle Childers-beck | Social Worker | 235 N Bergin Lane, Bloomfield, NM 87413 | 2015-08-12 |
| 1427364090 | Marichu Lazo | Occupational Therapy Assistant | 803 Hacienda Lane, Bloomfield, NM 87413 | 2010-08-20 |
| 1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
| 1972838266 | Chris Dwight Richardson | Physical Therapy Assistant | #6 Cty Rd 5149, Bloomfield, NM 87413 | 2009-10-05 |
| 1710025028 | Roy Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413 | 2007-02-01 |
| 1760427587 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413 | 2006-06-17 |
| 1568500833 | Connie Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413-2430 | 2007-02-01 |
| 1841453636 | James Bellah | Family Medicine | 6 County Road 7586, Bloomfield, NM 87413-4934 | 2008-07-02 |
| 1598751778 | David Lynn Doss | Optometrist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2005-09-23 |
| Find all providers in zip 87413 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179721 | Neighbours-inc | Community/Behavioral Health | 81 Chester Ave, Bloomfield, NJ 07003-5929 | 2020-03-18 |
| 1386121515 | Wellness Initiative Inc. | Community/Behavioral Health | 3 Barnard Ln Ste 301, Bloomfield, CT 06002-2495 | 2018-07-20 |
| 1245639087 | Highly Favored LLC | Community/Behavioral Health | 37 Jerome Ave, Suite 5-2, Bloomfield, CT 06002-2487 | 2014-08-18 |
| 1609021773 | Adestiny's Horizon | Community/Behavioral Health | 554 Bloomfield Ave Ste 402, Bloomfield, NJ 07003-3307 | 2008-11-17 |
| 1558863332 | Lynda Dunlop Aprn | Community/Behavioral Health | 34 Jerome Ave, Suite 116, Bloomfield, CT 06002-2463 | 2018-03-07 |
| 1194223271 | New Life Counseling and Mental Health Services, LLC | Community/Behavioral Health | 12 Prospect St, Bloomfield, NJ 07003-3211 | 2018-01-24 |
| 1811401011 | Janice Reeder Aprn LLC | Community/Behavioral Health | 34 Jerome Ave Ste 116, Bloomfield, CT 06002-2463 | 2017-11-27 |
| 1972015287 | Asun Star Consulting, Inc. | Community/Behavioral Health | 554 Bloomfield Ave Fl 4, Bloomfield, NJ 07003-3307 | 2017-10-26 |
| 1649704925 | Sadie L Smith-mcdaniel | Community/Behavioral Health | 101 E Broadway Ave, Bloomfield, NM 87413-6235 | 2017-04-13 |
| 1366880676 | Focused Employment Services | Community/Behavioral Health | 554 Bloomfield Ave, Second Floor, Bloomfield, NJ 07003-3307 | 2013-06-08 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 87413 |
Please comment or provide details below to improve the information on KELLEN DEAN.
| 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.