MRS. KELLYN LOPEZ (NPI# 1003170341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003170341 |
| Entity Type | Individual |
| Full Name | MRS. KELLYN LOPEZ |
| Credential | A.T.R. |
| Practice Address |
130 Powerville Rd Boonton NJ 07005-8705 |
| Practice Telephone | 9733161869 |
| Practice Fax Number | 9733161920 |
| Mailing Telephone | 9733161869 |
| Mailing Fax Number | 9733161920 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | 05005 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
130 POWERVILLE RD |
| City | BOONTON |
| State | NJ |
| Zip Code | 07005-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982661971 | Suman Lata Jalan | Psychiatry & Neurology | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2006-04-26 |
| 1740800481 | Kristin Far | Social Worker | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2020-04-23 |
| 1154940518 | Allyson Daly | Social Worker | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2020-04-15 |
| 1144856261 | Gabrielle Fresse | Social Worker | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2020-03-20 |
| 1760017867 | Sarah Cho | Social Worker | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2020-03-09 |
| 1295366508 | Jessica Ellen Troxler | Social Worker | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2020-01-27 |
| 1528698115 | Hannah Gooen | Social Worker | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2020-01-22 |
| 1801431143 | Serina Pino | Marriage & Family Therapist | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2019-11-11 |
| 1134763303 | Shelley English | Social Worker | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2019-10-31 |
| 1093366395 | Cassandra A Merklinghaus | Social Worker | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669997524 | Kyle Feather | Physical Therapist | 315 Wootton Street, Units G and H, Boonton, NJ 07005 | 2017-08-11 |
| 1629445234 | Eric Capell | Preventive Medicine | 102 Boonton Ave, Boonton, NJ 07005 | 2015-08-31 |
| 1639553530 | The Rose House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 929 Knoll Rd., Parsippany-troy Hills, NJ 07005 | 2015-07-10 |
| 1912241340 | Generation Pharmacy Group, LLC. | Pharmacy | 85 Fulton Street, Suite 9a, Boonton, NJ 07005 | 2012-11-26 |
| 1639323512 | Anna Marie Williams | Social Worker | 408 Main St Ste 204, Boonton, NJ 07005 | 2008-11-05 |
| 1275796286 | Yurata Gerwel Modzelewski | Pediatrics | 105 Powerville Road, Boonton Twp, NJ 07005 | 2008-07-09 |
| 1467656280 | Suzanne L. Feuer | Counselor | Saint Clares Health System, 130 Powerville Road, Boonton, NJ 07005 | 2007-06-14 |
| 1619029261 | Laura Jean Nowak | Social Worker | 130 Powerville Road, Boonton, NJ 07005 | 2007-01-16 |
| 1891842803 | Wilda Mesias | Psychologist | 550 West Main St, Boonton, NJ 07005 | 2007-01-04 |
| 1710912332 | Philip Mark Scaduto | Internal Medicine | 223 West Main St, Boonton, NJ 07005 | 2006-07-12 |
| Find all providers in zip 07005 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810054 | Paul Singleton IIi | Art Therapist | 55 Belmont Ave # 1, Jersey City, NJ 07304-3030 | 2020-10-28 |
| 1376189480 | Kelly Amaniera | Art Therapist | 49 E Midland Ave, Paramus, NJ 07652-2920 | 2019-11-24 |
| 1396395711 | Lorena Alejandra Vera | Art Therapist | 731 Holmdel Rd, Holmdel, NJ 07733-1509 | 2019-09-17 |
| 1215587209 | Ann Beverly Herring | Art Therapist | 3 Ascot Dr, Belvidere, NJ 07823-3201 | 2019-09-12 |
| 1417504556 | Lauren Cristino | Art Therapist | 37 Dora Ln, Holmdel, NJ 07733-1672 | 2019-08-22 |
| 1134602212 | Marie A Caruso-teresi | Art Therapist | 555 Goffle Rd Ste 107, Ridgewood, NJ 07450-4037 | 2018-09-13 |
| 1073018057 | Catherine M Rosa | Art Therapist | 3 Haytown Rd, Lebanon, NJ 08833-4009 | 2018-03-29 |
| 1326585357 | Jessica Drass | Art Therapist | 1001 White Horse Pike, Haddon Township, NJ 08107-1065 | 2017-01-29 |
| 1679933162 | Alisa Mira Lindenbaum | Art Therapist | 223 Old Hook Rd Ste 2d, Westwood, NJ 07675-3132 | 2016-02-26 |
| 1417327974 | Dominic Francis Martelli | Art Therapist | 439 Church Rd., Apt. 103, Sicklerville, NJ 08081-2621 | 2015-09-28 |
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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.