KATHLEEN M. KELLEY (NPI# 1962589390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962589390 |
| Entity Type | Individual |
| Full Name | KATHLEEN M. KELLEY |
| Credential | M.D. |
| Practice Address |
1740 W Taylor St Chicago IL 60612-7232 |
| Mailing Address |
1747 W Roosevelt Rd Mc 747 Chicago IL 60608-1264 |
| Practice Telephone | 8666002273 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036-061604 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972910925 | Kathleen Kelley | Social Worker | 2813e Wyoming Dr, Sinking Spring, PA 19608-1618 | 2014-07-22 |
| 1568691756 | Kathleen Kelley | Nurse Practitioner | 15110 Boones Ferry Rd Ste 248, Lake Oswego, OR 97035-3498 | 2009-07-08 |
| 1477617447 | Kathleen Kelley | Counselor | 99 University Place, 4th Floor, New York, NY 10003-8971 | 2006-12-21 |
| 1649388513 | Kathleen M Kelley | Nurse Practitioner | 1952 Long Grove Dr, Suite 202, Mt Pleasant, SC 29464 | 2006-08-29 |
| 1265443014 | Kathleen Cranford Kelley | Nurse Practitioner | 1092 General George Patton Rd, Nashville, TN 37221-2599 | 2006-08-10 |
| 1871501353 | Kathleen Ann Kelley | Pharmacist | 2943 Seneca Street, West Seneca, NY 14224-1950 | 2006-08-03 |
| 1992760797 | Kathleen S. Kelley | Internal Medicine | 498 University Blvd, Suite F, Harrisonburg, VA 22801 | 2006-04-18 |
| 1952773525 | Kathleen Kelley | Physician Assistant | 464 Congress Ave, Suite 260, New Haven, CT 06519-1361 | 2015-10-22 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1861882557 | Kathleen Helen Kelley | Dietitian, Registered | 15 Palomba Dr, 2, Enfield, CT 06082-3888 | 2015-02-02 |
| Street Address |
1740 W TAYLOR ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-7232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450882 | Nestor S Cuasay | Radiology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2005-07-09 |
| 1255941589 | Tariq Yousef Mohammad Alyamani | Internal Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-08-02 |
| 1043828601 | Alexandra Leora Millman | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-07-20 |
| 1457974818 | Marian Shehata | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-20 |
| 1033731773 | Parisa Hassanzadeh | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-16 |
| 1922620939 | Mohammad El-saied | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| 1205458213 | Michal Gorski | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| 1710509773 | Jaspreet Bahia | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| 1184246191 | Sean Carter Tompkins | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| 1548882442 | Zaid Adel Zayyad | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1326372780 | Syiha Ltd | Psychiatry & Neurology | 6321 N Leavitt, Apt 1n, Chicago, IL 60659 | 2009-10-01 |
| 1568514263 | Robert Elliot Blaik | Psychiatry & Neurology | 1642 E. 56th St., #505, Chicago, IL 60637-1973 | 2007-01-16 |
| 1891865515 | Mina K. Dulcan | Psychiatry & Neurology | 225 East Chicago Ave. Box 10, Ann & Robert H. Lurie Childrens Hospital of Chicago, Chicago, IL 60611-2605 | 2006-11-09 |
| 1124198239 | Thomas K. Cummins | Psychiatry & Neurology | 225 E Chicago Ave # 10, Chicago, IL 60611-2605 | 2006-11-08 |
| 1801994769 | Peter D Nierman | Psychiatry & Neurology | 3730 North Lake Shore Drive, #15a, Chicago, IL 60613 | 2006-09-21 |
| 1578661781 | Adrienne L. Adams | Psychiatry & Neurology | 1720 W Polk St, Mfiv- Child Psychiatry, Chicago, IL 60612-4328 | 2006-09-20 |
| Find all providers in CHICAGO | ||||
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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.