DR. KELLY C. RICHARDS (NPI# 1235571688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235571688 |
| Entity Type | Individual |
| Full Name | DR. KELLY C. RICHARDS |
| Credential | PSY.D. |
| Practice Address |
721 Orwood Pl Syracuse NY 13208-3124 |
| Practice Telephone | 3153134031 |
| Mailing Telephone | 3153134031 |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
019444-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477803856 | Kelly J Richards | Massage Therapist | 850 High Street, Suite 2b, Holyoke, MA 01040-3739 | 2012-09-13 |
| 1649529009 | Kelly Richards | Physical Therapist | 2200 E. Washington St., Bloomington, IL 61701 | 2012-08-31 |
| 1174849772 | Kelly Richards | Physical Therapy Assistant | 1058 Clark St, D-1, Holland, OH 43528-7949 | 2010-04-08 |
| 1144650698 | Kelly Richards | Nurse Practitioner | 4 Hall St, Concord, NH 03301-3414 | 2013-11-20 |
| 1861825127 | Kelly Richards | Physician Assistant | 963 Town Center Dr, Suite 100, Orange City, FL 32763-8254 | 2013-08-09 |
| 1336433879 | Kelly Analiese Richards | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2011-06-01 |
| 1841524055 | Kelly A. Richards | Nurse Anesthetist, Certified Registered | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2009-09-22 |
| 1346408804 | Kelly J Richards | Dietitian, Registered | 5140 Liberty Ave, 2nd Floor, Pittsburgh, PA 15224-2215 | 2008-05-30 |
| 1720283674 | Kelly Elizabeth Richards | Social Worker | 21 W Fee Ave, Suite G, Melbourne, FL 32901-4402 | 2007-06-20 |
| Street Address |
721 ORWOOD PL |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13208-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740736040 | M&a Mobilityllc | Non-emergency Medical Transport (VAN) | 1611 Lodi St, Syracuse, NY 13208 | 2016-08-28 |
| 1053655472 | Navid Rashidi Keikanloo | Dentist | 2800 Court St, Syracuse, NY 13208 | 2012-11-26 |
| 1801163399 | Kathleen Ann Troicke | Registered Nurse | 923 North Mcbride Street, Cathedral Academy At Pompei School, Syracuse, NY 13208 | 2011-11-28 |
| 1194016469 | Sharon Walsh Costello | Registered Nurse | 110 Second North Street, Apt 17, Syracuse, NY 13208 | 2011-04-21 |
| 1396058749 | Rebecca Lynn Martin | Licensed Practical Nurse | 102 Hamden Drive, Syracuse, NY 13208 | 2010-07-14 |
| 1730358045 | Tiffany Mckinney | Technician/Technologist | 2901 Court Street, Eyecare of Cny, Syracuse, NY 13208 | 2008-02-21 |
| 1871794594 | Edward Louis Defuria | Dentist | 2800 Court Street, Syracuse, NY 13208 | 2007-05-30 |
| 1912092354 | Karen Ev Fallon | Physical Therapist | 1603 Court Street, Syracuse, NY 13208 | 2006-10-03 |
| 1245346147 | Christian Haglund Woodhead | Dentist | 801 N. Salina St., Syracuse, NY 13208 | 2006-08-22 |
| 1619994167 | Judith Ann Falk | Social Worker | 1118 Court St, Syracuse, NY 13208 | 2006-07-17 |
| Find all providers in zip 13208 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1114586393 | Paige Ouimette, Phd, Psychologist, PC | Psychologist | 1101 Erie Blvd E Ste 206, Syracuse, NY 13210-1144 | 2019-06-11 |
| 1053827899 | Deborah L. Pollack, Psychologist, PC | Psychologist | 4317 E Genesee St Ste 200, Syracuse, NY 13214-2114 | 2017-12-15 |
| 1275811291 | Dewitt Counseling Associates, Lcsw, PC | Psychologist | 890 E Brighton Ave, Syracuse, NY 13205-2538 | 2011-07-25 |
| 1992949192 | Angelina S Rodner | Psychologist | 505 Irving Ave, Upstate Concussion Management Program, Syracuse, NY 13210-1718 | 2009-05-01 |
| 1932345998 | Norman J. Lesswing | Psychologist | 307 S Townsend St, Syracuse, NY 13202-2128 | 2008-12-22 |
| 1760656847 | Barbara Mcclure | Psychologist | 6 Lansdowne Rd, Syracuse, NY 13214-2123 | 2008-04-18 |
| 1316165301 | Michael Louis Boucher | Psychologist | 307 Semloh Dr, Syracuse, NY 13219-2829 | 2007-04-23 |
| 1922149368 | Jerome Rene Wilett | Psychologist | 500 N Mcbride St, Syracuse, NY 13203-1913 | 2007-02-09 |
| 1881755312 | John F Harkulich | Psychologist | 419 Shuart Ave, Syracuse, NY 13203-3025 | 2006-12-12 |
| Find all providers in SYRACUSE | ||||
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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.