DR. SCOTT A KELLY (NPI# 1184892051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184892051 |
| Entity Type | Individual |
| Full Name | DR. SCOTT A KELLY |
| Credential | ED.D. |
| Practice Address |
3125 W Main St Kalamazoo MI 49006-2997 |
| Practice Telephone | 2694885905 |
| Practice Fax Number | 2694885906 |
| Mailing Telephone | 2694885905 |
| Mailing Fax Number | 2694885906 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301006856 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891526 | Scott Andrew Kelly | Military Health Care Provider | 242 Avenida Pelayo Unit A, San Clemente, CA 92672-5033 | 2020-01-29 |
| 1356882625 | Scott Kelly | Specialist/Technologist | 21840 Nw 218th Ter, High Springs, FL 32643-9081 | 2017-03-20 |
| 1609998632 | Scott Michael Kelly | Specialist/Technologist | 1701 E Colter St Apt 209, Phoenix, AZ 85016-3374 | 2007-04-03 |
| 1477632396 | Scott S Kelly | Dentist | 116 W John St, Maumee, OH 43537-2145 | 2006-11-02 |
| 1467434357 | Scott Patrick Kelly | Emergency Medicine | Oaklawn Hospital, 200 N. Madison St., Marshall, MI 49068 | 2005-11-16 |
| 1295211001 | Scott Edward Kelly | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2018-07-15 |
| 1811126105 | Scott Douglas Kelly | Ophthalmology | 2610 S Ih 35, Austin, TX 78704-5703 | 2009-07-07 |
| 1548389166 | Scott Andrew Kelly | Chiropractor | 16902 Southwest Fwy, Suite 100, Sugar Land, TX 77479-2350 | 2007-03-28 |
| 1215088406 | Scott M Kelly | Anesthesiology | 1229 Madison St, Suite 1440, Seattle, WA 98104-3586 | 2007-01-15 |
| 1962508093 | Scott Munro Kelly | Urology | 1004 1st St N, Suite 320, Alabaster, AL 35007-8766 | 2006-09-16 |
| Street Address |
3125 W MAIN ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49006-2997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396885604 | Scott Kelly & Associates PC | Psychologist | 3125 W Main St, Kalamazoo, MI 49006-2997 | 2007-02-07 |
| 1396907044 | Advanced Medical Management Services Inc | Family Medicine | 3125 W Main St, Kalamazoo, MI 49006-2997 | 2008-06-25 |
| 1538347505 | Sheril Kelly | Social Worker | 3125 W Main St, Kalamazoo, MI 49006-2997 | 2008-02-01 |
| 1124149448 | Sandra Anne Packer-armstrong | Psychologist | 3125 W Main St, Kalamazoo, MI 49006-2997 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| 1588055768 | Rashida Al-gharib | Counselor | 10107 Boswell Lane, Kalamazoo, MI 49006 | 2015-02-10 |
| 1174913420 | Teesha Lynn Bancroft | Specialist | 329 S Sage St, Kalamazoo, MI 49006 | 2015-01-26 |
| 1801293493 | Ayaz Jaffer | Pharmacist | 5100 Century Avenue, Kalamazoo, MI 49006 | 2014-11-25 |
| 1609207695 | Karen Irene Zantjer | Occupational Therapist | 2575 N Drake, Tendercare Westwood, Kalamazoo, MI 49006 | 2013-12-02 |
| 1629313614 | Jessica Korneder | Behavioral Analyst | 3621 Kenbrooke Court, Kalamazoo, MI 49006 | 2012-12-03 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1932356979 | Joy Ann Mcgrath | Occupational Therapist | 1400 North Drake Road, Friendship Village of Kalamazoo, Kalamazoo, MI 49006 | 2008-08-21 |
| 1306901103 | Frederick G Greaves | Psychologist | 4031 W Main, Kalamazoo, MI 49006 | 2006-12-22 |
| 1629162300 | John F Hemmer | Social Worker | 1530 Nichols Road, Kalamazoo, MI 49006 | 2006-10-03 |
| Find all providers in zip 49006 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1033499173 | Chiquitha Cornelius | Psychologist | 7061 W N Ave, Kalamazoo, MI 49009-9508 | 2011-08-21 |
| 1336311257 | Margaret O Ajayi-nabors | Psychologist | 350 E Michigan Ave, Suite 135, Kalamazoo, MI 49007-3800 | 2008-03-31 |
| 1275737413 | Dorman and Associates Plc | Psychologist | 3207 Stadium Dr, Suite 2, Kalamazoo, MI 49008-1536 | 2007-06-12 |
| 1922212265 | Nancy Ann Hayes | Psychologist | 4341 S Westnedge, Suite 2109, Kalamazoo, MI 49008 | 2007-05-09 |
| 1043430184 | Yanis Peteris Grants | Psychologist | 4341 S Westnedge Av, Suite 2109, Kalamazoo, MI 49008 | 2007-04-30 |
| 1548385792 | Matthew G Rushlau | Psychologist | 4031 W Main St Ste 400, Kalamazoo, MI 49006-3730 | 2007-03-20 |
| 1477686251 | Carla A Fallon | Psychologist | 414 W Crooked Lake Drive, Kalamazoo, MI 49009-8930 | 2007-03-13 |
| 1396885604 | Scott Kelly & Associates PC | Psychologist | 3125 W Main St, Kalamazoo, MI 49006-2997 | 2007-02-07 |
| Find all providers in KALAMAZOO | ||||
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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.