KELLY M. VALLANGO (NPI# 1154690758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154690758 |
| Entity Type | Individual |
| Full Name | KELLY M. VALLANGO |
| Credential | EDS NCSP |
| Practice Address |
48 Eb Saunders Way Clarksburg WV 26302-1370 |
| Mailing Address |
Po Box 1370 Clarksburg WV 26302-1370 |
| Practice Telephone | 3046246554 |
| Practice Fax Number | 3046245223 |
| Mailing Telephone | 3046246554 |
| Mailing Fax Number | 3046245223 |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
4144 | WV | Behavioral Health & Social Service Providers |
| Street Address |
48 EB SAUNDERS WAY |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26302-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558436519 | Aristotle Alcabedes Rabanal | Surgery | Oakmound 409, Clarksburg, WV 26302 | 2006-11-22 |
| 1225066798 | Emergency Medicine Physicians of Harrison County, Pllc | Emergency Medicine | Route 19 South, Clarksburg, WV 26302 | 2006-06-30 |
| 1184933913 | Access Hospitalists (uhc) LLC | Hospitalist | 3 Hospital Plaza, Clarksburg, WV 26302 | 2010-09-28 |
| 1639203508 | Aristotle A Rabanal Md Inc | Family Medicine | Oakmound 409, Clarksburg, WV 26302-0409 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730169 | Mary Elizabeth Frame | Registered Nurse | 2645 Crooked Run Rd, Clarksburg, WV 26301-6769 | 2020-11-06 |
| 1871194688 | Billie Sue Griffith | Technician | 366 Chicken Farm Rd, Clarksburg, WV 26301-6550 | 2020-11-06 |
| 1538760566 | John David Barnes | Case Manager/Care Coordinator | 229 W Main St Ste 200, Clarksburg, WV 26301-2966 | 2020-11-05 |
| 1629679881 | Lila Mae Friend | Technician | 160 Sand St, Clarksburg, WV 26301-6008 | 2020-11-04 |
| 1336749126 | Priority Mobility LLC | Non-emergency Medical Transport (VAN) | 12117 Pond Pine Dr, Clarksburg, MD 20871-4474 | 2020-10-29 |
| 1598362220 | Brandie Moore | Technician | 236 Park Blvd, Clarksburg, WV 26301-3521 | 2020-10-06 |
| 1669079604 | Jessica Yvonne Thomas | Military Health Care Provider | 64 Verdant Oak Aly, Clarksburg, MD 20871-3504 | 2020-10-02 |
| 1386250678 | Amanda Culberson | Technician | 4201 Oakmound Dr, Clarksburg, WV 26301-9457 | 2020-09-22 |
| 1396351292 | Carla S Thayer | Technician | 5054 Ash St, Clarksburg, WV 26301-6919 | 2020-09-17 |
| 1528673878 | Ati Holding LLC | Occupational Therapist | 22750 Newcut Rd Ste D1, Clarksburg, MD 20871-5334 | 2020-09-14 |
| Find all providers in CLARKSBURG | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1942816483 | Emily Nestor | Psychologist | 445 W Main St, Clarksburg, WV 26301-2843 | 2020-09-21 |
| 1548640725 | Jessica Chadwick | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301-3712 | 2015-06-03 |
| 1386070092 | Lee Ann Vecellio | Psychologist | 1201 N 15th St, Clarksburg, WV 26301-1989 | 2013-09-26 |
| 1417221482 | Susan Ann Miller | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2012-03-08 |
| 1316222011 | Andrew Joseph Woolwine | Psychologist | 1201 N 15th St, Clarksburg, WV 26301-1989 | 2011-10-14 |
| 1306017322 | Kristen K Majewski | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-03-18 |
| 1477724714 | Jill C Deicas | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-03-14 |
| 1023287463 | Debra Sue Henderson | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-02-28 |
| 1578732012 | Debra Ann Davis | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-02-28 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 26302 |
Please comment or provide details below to improve the information on KELLY M. VALLANGO.
| 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.