MYSCHELLE KELLY (NPI# 1093353476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093353476 |
Entity Type | Individual |
Full Name | MYSCHELLE KELLY |
Practice Address |
1268 W Clark Rd Apt I2 Dewitt MI 48820-9089 |
Practice Telephone | 2693382385 |
Enumeration Date | 2019-12-16 |
Last Update Date | 2019-12-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
Street Address |
1268 W CLARK RD APT I2 |
City | DEWITT |
State | MI |
Zip Code | 48820-9089 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164070660 | Safa Abugroun | Pharmacist | 13020 Old Us 27, Dewitt, MI 48820 | 2019-08-28 |
1881113645 | Joseph Wesley Zielinski | Physical Therapist | 13105 Shavey Rd. Suite 5, Dewitt, MI 48820 | 2017-09-13 |
1366979973 | Brianna Bishop | Behavior Technician | 12450 Airport Rd, Dewitt, MI 48820 | 2017-05-12 |
1376882290 | Elements Behavioral Health Pllc | Social Worker | 1651 Pratt Rd, Dewitt, MI 48820 | 2013-02-13 |
1265697478 | Abigail Balger | Emergency Medicine | 805 E Geneva Dr, Dewitt, MI 48820 | 2008-07-28 |
1992910483 | Heide Ann Novack | Pharmacist | 13157 1/2 Schavey, Dewitt, MI 48820 | 2007-05-10 |
1275667321 | Andrea K Simons | Podiatrist | 13105 Schavey Road, Suite 2, Dewitt, MI 48820 | 2007-03-14 |
1649222423 | Dewitt Optometry PC | Optometrist | 12900 S Us-27, #7, Dewitt, MI 48820 | 2006-05-17 |
1700884467 | Michael R. Bunce | Pharmacist | 128 S Bridge St, Dewitt, MI 48820 | 2005-07-07 |
1023439452 | Mary Sieben | Pharmacist | 12821 Crossover Dr, Meijer Pharmacy 209, Dewitt, MI 48820 | 2014-01-03 |
Find all providers in zip 48820 |
Taxonomy Code | 103TR0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427576263 | Diana Lynn Springstead | Psychologist | 1160 Ransom St, Muskegon, MI 49442-3322 | 2017-08-31 |
1841227659 | Catharine Marie Kaneti | Psychologist | 235 Wealthy Street Se, Mary Free Bed Hospital, Grand Rapids, MI 49503-5299 | 2006-06-27 |
1740246339 | Jacobus Am Donders | Psychologist | 235 Wealthy Se, Grand Rapids, MI 49503 | 2006-04-24 |
1750347332 | Juliet Maria Coscia | Psychologist | 235 Wealthy Ave Se, Department of Psychology, Grand Rapids, MI 49503-5299 | 2006-04-24 |
1669829230 | Roger Lynn Erickson | Psychologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2016-05-24 |
1801139134 | Kelly Jean Savage | Psychologist | 1350 E West Maple Rd, Suite 2, Walled Lake, MI 48390-3727 | 2013-04-04 |
1891037735 | Aspire Rehabilitation Services, LLC | Psychologist | 1000 John R Rd Ste 211, Troy, MI 48083-4317 | 2013-03-18 |
1235423104 | Kathryn Wilson | Psychologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2011-06-08 |
1164744181 | Innovative Rehabilitation Systems, Inc | Psychologist | 525 E Big Beaver Rd, Suite 203, Troy, MI 48083-1364 | 2010-02-17 |
1417164542 | Jeremy L Johnson | Psychologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2007-05-17 |
Find all providers with the same taxonomy |
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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.