DR. KELLY JEAN LOWERY (NPI# 1043557135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043557135 |
| Entity Type | Individual |
| Full Name | DR. KELLY JEAN LOWERY |
| Credential | PSY.D. |
| Practice Address |
89 Revere St Boston MA 02114-4407 |
| Practice Telephone | 6176992928 |
| Mailing Telephone | 6176992928 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831321967 | Kelly Ann Lowery | Counselor | 420 Younstown-poland Road, Struthers, OH 44471-1058 | 2009-08-24 |
| 1497305320 | Kelly R Lowery | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2019-09-12 |
| 1770149973 | Kelly Lowery | Nurse Practitioner | 3541 N Crossing Cir, Valdosta, GA 31602-1019 | 2019-05-13 |
| Street Address |
89 REVERE ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023256336 | Maria Carmel Gurucharri | Psychologist | 90 Warren Ave, Mckinley Elementary, Boston, MA 02116 | 2009-01-23 |
| 1295340388 | Kathryn Theresa Moffa | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1366098741 | Heather E Potts | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-08-12 |
| 1255999710 | Julia Kerins Carmody | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-05-30 |
| 1831686252 | Janet Lynn George | Psychologist | 500 Harrison Ave, Boston, MA 02118-2439 | 2018-04-20 |
| 1093233645 | Ashley Danielle Cameron | Psychologist | 30 Warren Street, Boston, MA 02135 | 2017-09-05 |
| 1376061929 | Lauren Bangert | Psychologist | 30 Warren Street, Boston, MA 02135 | 2017-09-05 |
| 1588100226 | Katherine Sanchez | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-01-18 |
| 1023567161 | Kerry Mcgregor | Psychologist | 333 Longwood Ave, Boston, MA 02115-5711 | 2016-09-30 |
| 1467909671 | Jordan Constance | Psychologist | 30 Warren St, Boston, MA 02135-3602 | 2016-09-06 |
| Find all providers in BOSTON | ||||
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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.