BRIAN R KELLEY (NPI# 1063958395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063958395 |
| Entity Type | Individual |
| Full Name | BRIAN R KELLEY |
| Credential | MSW |
| Practice Address |
3400 S Washington Rd Saginaw MI 48601-4958 |
| Practice Telephone | 9897551072 |
| Practice Fax Number | 9897551401 |
| Mailing Telephone | 9897551072 |
| Mailing Fax Number | 9897551401 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598027054 | Brian P Kelley | Licensed Practical Nurse | 98 Chapman Ave, Auburn, NY 13021-4632 | 2012-06-11 |
| 1265706949 | Brian Edward Kelley | Social Worker | 139-141 North St., Suite 303, Pittsfield, MA 01201 | 2012-02-28 |
| 1770866261 | Brian Thomas Kelley | Pharmacist | 1380 S Appomattox Ave, Republic, MO 65738-7802 | 2011-09-21 |
| 1326352022 | Brian L Kelley | Pharmacist | 970 N Main Rd, Vineland, NJ 08360-8266 | 2010-08-05 |
| 1821165465 | Brian Kelley | Chiropractor | 6096 Se Federal Hwy, Stuart, FL 34997-8101 | 2006-11-29 |
| 1366423527 | Brian Patrick Kelley | Dentist | 6923 W Becher St, West Allis, WI 53219-1353 | 2005-11-07 |
| 1811994205 | Brian Scott Kelley | Chiropractor | 1503 Larson St, Bloomer, WI 54724-1632 | 2005-06-30 |
| 1003811407 | Brian Kelley | Obstetrics & Gynecology | 7500 Hospital Dr, Dublin, OH 43016-8518 | 2005-06-14 |
| 1194213785 | Brian Kelley | Student in an Organized Health Care Education/Training Program | 102 Mason Farm Rd, Chapel Hill, NC 27599-6134 | 2018-04-29 |
| 1891147336 | Brian Kelley | Nurse Practitioner | 300 Flynn Ave, Burlington, VT 05401-5301 | 2016-07-08 |
| Street Address |
3400 S WASHINGTON RD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48601-4958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841283199 | Hetal K. Brahmbhatt | Internal Medicine | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2005-08-23 |
| 1194364885 | Darlene Ann White | Counselor | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-12-30 |
| 1366087678 | Mary Volz | Counselor | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-11-11 |
| 1003458266 | Mary Beach | Nurse Practitioner | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-10-09 |
| 1356991046 | Jahmall Whittaker | Counselor | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-09-16 |
| 1689222036 | Cheriah Slaughter | Counselor | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-08-29 |
| 1205480092 | Christopher M Wesolowski | Counselor | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-07-30 |
| 1518511591 | Mariell Cunningham | Case Manager/Care Coordinator | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-07-29 |
| 1568016830 | Emily Ballien | Peer Specialist | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-07-25 |
| 1568014983 | Bryan W Monroe | Counselor | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629570197 | Amanda Lynn Clothier | Occupational Therapist | 800 S Washington, Saginaw, MI 48601 | 2018-03-01 |
| 1891206959 | The Young Mens Christian Association of Saginaw | Health Educator | 1915 Fordney St., Saginaw, MI 48601 | 2017-10-17 |
| 1457860330 | Thassa Antwinette Ervin | Nurse's Aide | 2918 Arlington Dr, Saginaw, MI 48601 | 2017-09-23 |
| 1790200053 | Deana Marie Warner | Occupational Therapy Assistant | 2454 Madsen Rd., Saginaw, MI 48601 | 2017-08-08 |
| 1821522459 | Home Care Central Inc | Home Health | 4789 Janes Road, Saginaw, MI 48601 | 2017-04-20 |
| 1194199497 | Demartez Lamar Couch | Contractor | 1474 Chatham Dr., Saginaw, MI 48601 | 2015-11-24 |
| 1831568997 | First Choice Staffing Agency, LLC | Hospice Care, Community Based | 339 S. 25th St., Saginaw, MI 48601 | 2015-09-18 |
| 1801212204 | Marla Katherine Price | Dietitian, Registered | 800 S. Washington, St. Marys of Michigan, Saginaw, MI 48601 | 2014-03-10 |
| 1346591328 | Lance Louis-john Redwantz | Dietitian, Registered | 1522 Janes Street, Saginaw, MI 48601 | 2012-10-01 |
| 1386900785 | Mark Dennis Szczepanski | Social Worker | 1040 Towerline Rd, Saginaw, MI 48601 | 2012-04-10 |
| Find all providers in zip 48601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939492 | Tyana Mcdaniel | Counselor | 6140 Hallmark Ct, Saginaw, MI 48603-4860 | 2019-02-28 |
| 1093105157 | Cynthia Moten | Counselor | 128 North Weadock, Saginaw, MI 48607 | 2015-01-28 |
| 1184013682 | Stacye Williams | Counselor | 127 N Warren Ave, Saginaw, MI 48607 | 2015-01-21 |
| 1063839645 | Hilary A Vansickle | Counselor | 3500 S Washington Rd, Saginaw, MI 48601-4958 | 2014-03-21 |
| 1356773634 | Randall E Genow II | Counselor | 5360 Hampton Pl Ste 200, Saginaw, MI 48604-9451 | 2013-08-08 |
| 1144596073 | Sharon Renee' Berkobien | Counselor | 3400 S. Washington, Saginaw, MI 48601 | 2012-03-26 |
| 1679802870 | Deidrea Sanders | Counselor | 2127 Maplewood Ave, Saginaw, MI 48601-3604 | 2009-12-17 |
| 1528230943 | Rosetta Harrell | Counselor | 2220 N Morson St, Saginaw, MI 48602-3457 | 2008-03-26 |
| 1730365602 | Oslin Brummell-presley | Counselor | 1226 S Jefferson Ave, Saginaw, MI 48601-2634 | 2008-01-10 |
| 1548399165 | Shannon Melissa Taylor Bond | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2007-03-02 |
| Find all providers in SAGINAW | ||||
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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.