DAVID KELLEY (NPI# 1174830368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174830368 |
| Entity Type | Individual |
| Full Name | DAVID KELLEY |
| Credential | L.C.P.C. |
| Practice Address |
17 Masonic St Rockland ME 04841-2808 |
| Practice Telephone | 2079754427 |
| Mailing Telephone | 2079754427 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC553 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302277 | David Andrew Kelley I | Pharmacist | 5816 Osage Beach Pkwy Ste 104, Osage Beach, MO 65065-3046 | 2020-10-08 |
| 1598175481 | David Kelley Sr. | Pharmacist | 4475 24th Ave., Fort Gratiot, MI 48059 | 2014-05-01 |
| 1053633305 | David M Kelley | Physical Therapist | 31 Williamstown Road, Lanesboro, MA 01237 | 2010-02-26 |
| 1427121714 | David R Kelley | Urology | 100 Wason Anenue, Suite 120, Springfield, MA 01107-1119 | 2006-11-16 |
| 1083796478 | David Baker Kelley | Internal Medicine | 408 Lilly Rd Ne Ste C, Olympia, WA 98506-6954 | 2006-10-19 |
| 1184720088 | David J. Kelley | Psychologist | 632 Plank Rd, Suite 209, Clifton Park, NY 12065 | 2006-09-16 |
| 1174565121 | David B Kelley | Psychologist | 1010 Fir Ln, Lockhart, TX 78644-2059 | 2006-06-12 |
| 1750367017 | David W. Kelley | Nurse Anesthetist, Certified Registered | 708 E Marshall St, West Chester, PA 19380-4413 | 2005-12-19 |
| 1447778774 | David C Kelley | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2017-09-07 |
| 1417112442 | David M Kelley | Family Medicine | 8348 Washington Ave, Racine, WI 53406-3733 | 2008-07-18 |
| Street Address |
17 MASONIC ST |
| City | ROCKLAND |
| State | ME |
| Zip Code | 04841-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619021987 | Dirk Vandersloot, Md | Family Medicine | 17 Masonic St, Rockland, ME 04841-2808 | 2007-01-23 |
| 1255856746 | Sydney Leah Barnhart | Counselor | 17 Masonic St, Rockland, ME 04841-2808 | 2017-08-07 |
| 1689791931 | Abigail C. Morrison | Acupuncturist | 17 Masonic St, Center for Health and Healing, Rockland, ME 04841-2808 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780102871 | Rockland Medical Supplies | Durable Medical Equipment & Medical Supplies | 235 Camden St Ste 32 #182, Rockland, ME 04841 | 2017-09-08 |
| 1972927747 | Maryann B. Guernsey | Social Worker | 75 Mechanic St Ste 206e, Rockland, ME 04841 | 2014-02-13 |
| 1235467580 | Arvind Patel | Family Medicine | 166 New County Rd, Rockland, ME 04841 | 2009-11-25 |
| 1134305501 | Wanda Johnson | Social Worker | 91 Camden Street, Suite 206, Rockland, ME 04841 | 2008-01-16 |
| 1336356351 | Lynn T. Lackoff | Occupational Therapist | 116 Tillson Avenue, Knox County Cds, Rockland, ME 04841 | 2007-05-17 |
| 1326250812 | Susan C. Righthand | Psychologist | 120 Tillson Ave., Rockland, ME 04841 | 2007-05-04 |
| 1043437981 | Scott D Archer | Pharmacist | 28 Park St., Rockland, ME 04841 | 2007-04-20 |
| 1770642175 | William Vincent Coppola | Optometrist | 20 Oak St., Rockland, ME 04841 | 2006-12-08 |
| 1407936669 | Mary-ellen Ostherr | Counselor | 17 Masonic Street, Rockland, ME 04841 | 2006-10-16 |
| 1053330910 | David Arthur Theriault | Dentist | 19 Summer Street, Rockland, ME 04841 | 2006-07-19 |
| Find all providers in zip 04841 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679988356 | Tierney Spear | Counselor | 279 E Water St, Rockland, MA 02370-1363 | 2014-06-21 |
| 1285047456 | Nicole R Murphy | Counselor | 336 Salem St, Rockland, MA 02370-1659 | 2014-06-05 |
| 1164763454 | Taryn Rose Lordi | Counselor | 18 Blossom St, Rockland, MA 02370-1810 | 2013-03-12 |
| 1023303526 | Christine Elizaberh Beary | Counselor | 57 Dexter Rd, Rockland, MA 02370-2021 | 2011-06-13 |
| 1053599191 | Michele Paula Mannion | Counselor | 120 Tillson Ave Ste 214, Rockland, ME 04841-3400 | 2008-01-31 |
| 1003827361 | Robert Earl Outman-conant | Counselor | 482 Beech St, Rockland, MA 02370-2753 | 2006-08-11 |
| 1255856746 | Sydney Leah Barnhart | Counselor | 17 Masonic St, Rockland, ME 04841-2808 | 2017-08-07 |
| 1831594548 | Jonathan D Ward | Counselor | 12 Union St, Rockland, ME 04841-2739 | 2014-10-24 |
| 1518190966 | Dru Katherine Carver-brown | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-09-02 |
| 1629202395 | Janet Hazel Doney-elfadel | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-05-11 |
| Find all providers in ROCKLAND | ||||
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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.