Jerry S Kelly (NPI# 1962559278, PAC ID# 7719101203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1962559278 |
| PAC ID by PECOS | 7719101203 |
| Professional Enrollment ID | I20140625000121 |
| Full Name | Jerry S Kelly |
| Organization Legal Name | SUBURBAN PSYCHIATRIC ASSOCIATES, LLP |
| Address |
4535 Southwestern Blvd Suite 704 Hamburg NY 14075-1870 |
| Phone Number | 7166893333 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6709774318 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 | 7166893333 | SUBURBAN PSYCHIATRIC ASSOCIATES, LLP |
| Organization Legal Name | SUBURBAN PSYCHIATRIC ASSOCIATES, LLP |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Merlin | Nurse Practitioner | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| Meredith Baker | Clinical Social Worker | Suburban Psychiatric Associates, LLP | 85 Bryant Woods S, Amherst, NY 14228-3604 |
| Kathleen Toner | Psychologist, Clinical | Suburban Psychiatric Associates, LLP | 85 Bryant Woods S, Amherst, NY 14228-3604 |
| Michael Schoenwetter | Clinical Social Worker | Suburban Psychiatric Associates, LLP | 85 Bryant Woods S, Amherst, NY 14228-3604 |
| Jeanne Salada-conroy | Nurse Practitioner | Suburban Psychiatric Associates, LLP | 85 Bryant Woods S, Amherst, NY 14228-3604 |
| Diana G Watson | Psychologist, Clinical | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| Frank P Alabiso | Psychologist, Clinical | Suburban Psychiatric Associates, LLP | 85 Bryant Woods S, Amherst, NY 14228-3604 |
| Christopher G Martin | Psychiatry | Suburban Psychiatric Associates, LLP | 85 Bryant Woods S, Amherst, NY 14228-3604 |
| Julie A Makar | Clinical Social Worker | Suburban Psychiatric Associates, LLP | 85 Bryant Woods S, Amherst, NY 14228-3604 |
| Tisha M Tanyi | Nurse Practitioner | Suburban Psychiatric Associates, LLP | 85 Bryant Woods S, Amherst, NY 14228-3604 |
| Street Address |
4535 SOUTHWESTERN BLVD SUITE 704 |
| City | HAMBURG |
| State | NY |
| Zip | 14075-1870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Merlin | Nurse Practitioner | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| Diana G Watson | Psychologist, Clinical | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| Virginia M Valenti | Nurse Practitioner | 4535 Southwestern Blvd, Suite 705, Hamburg, NY 14075-1870 | |
| Anthony T Goode | Physical Therapy | Kirchmyer and Goode Physical Therapists PC | 4535 Southwestern Blvd, Hamburg, NY 14075-1860 |
| Peter C Leising | Clinical Social Worker | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| Ann Rousselle | Psychologist, Clinical | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| Leah M Snyder | Clinical Social Worker | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| Martha L King Sedwick | Clinical Social Worker | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| Kristina N Castillo | Clinical Social Worker | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| Jeffrey D Kirchmyer | Physical Therapy | Kirchmyer and Goode Physical Therapists PC | 4535 Southwestern Blvd, Hamburg, NY 14075-1860 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Maurice Gillezeau | Chiropractic | 3383 Big Tree Rd, Hamburg, NY 14075-1703 | |
| Christina Patrice Bukaty | Chiropractic | Bukaty Family Chiropractic PC | 4269 Saint Francis Dr, Hamburg, NY 14075-1724 |
| Stephanie L Werner | Chiropractic | Bukaty Family Chiropractic PC | 4269 Saint Francis Dr, Hamburg, NY 14075-1724 |
| Ronald P Santasiero | Family Practice | Ronald P. Santasiero Md PC | 4535 Southwestern Blvd, Suite 801, Hamburg, NY 14075-1860 |
| Lindsay S Colbert | Physical Therapy | Kirchmyer and Goode Physical Therapists PC | 4535 Southwestern Blvd, Hamburg, NY 14075-1860 |
| Melissa M Mele Delgado | Nurse Practitioner | Southern Tier Dermatology and Aesthetics | 4535 Southwestern Blvd, Suite 202, Hamburg, NY 14075-1861 |
| Richard Bennett | Psychiatry | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| Rosalina B Rizzo | Clinical Social Worker | Suburban Psychiatric Associates, LLP | 4535 Southwestern Blvd, Suite 704, Hamburg, NY 14075-1870 |
| James J Dragonette | Chiropractic | 4735 Southwestern Blvd, Hamburg, NY 14075-1926 | |
| Riffat Sadiq | Internal Medicine | Geriatric Associates, LLP | 4650 Southwestern Blvd, Hamburg, NY 14075-1939 |
| Find all physicians in zip 14075 | |||
| City | HAMBURG |
| Zip Code | 14075 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | HAMBURG + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jerry S Kelly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.