MR. THOMAS MARK KELLY (NPI# 1336312974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336312974 |
| Entity Type | Individual |
| Full Name | MR. THOMAS MARK KELLY |
| Practice Address |
400 Holland Ave Braddock PA 15104-1599 |
| Practice Telephone | 4126365151 |
| Practice Fax Number | 4126365705 |
| Mailing Telephone | 4126365151 |
| Mailing Fax Number | 4126365705 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844554 | Thomas Kelly | Physical Therapist | 204 Eastlake Ave, Massapequa Park, NY 11762-2145 | 2020-09-03 |
| 1962718684 | Thomas Bebell Kelly | Pharmacist | 6520 Barton Ct, Johnston, IA 50131-2900 | 2010-08-19 |
| 1598071201 | Thomas Kelly | Internal Medicine | 850 W Baraga Ave Ste 32, Marquette, MI 49855-4550 | 2010-08-19 |
| 1316170988 | Thomas Joseph Kelly II | Ophthalmology | 2104 Golfview Dr Ne, New Philadelphia, OH 44663-9700 | 2009-08-31 |
| 1265523500 | Thomas J Kelly | Physical Therapist | 2704 Mineral Springs Ave, Knoxville, TN 37917-1562 | 2006-09-28 |
| 1972607562 | Thomas E. Kelly | Counselor | 108 S Minnesota Ave Ste 102, Saint Peter, MN 56082-2557 | 2006-09-12 |
| 1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
| 1043228000 | Thomas Francis Kelly | Dentist | 200 North Royal Tower Dr, Irmo, SC 29063 | 2006-08-04 |
| 1225050149 | Thomas M Kelly | Chiropractor | 124 State Route 35, Red Bank, NJ 07701-5906 | 2006-07-24 |
| 1215958723 | Thomas Michael Kelly Jr. | Pharmacist | 528 West Lacey Road, Forked River, NJ 08731 | 2006-07-21 |
| Street Address |
400 HOLLAND AVE |
| City | BRADDOCK |
| State | PA |
| Zip Code | 15104-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396719738 | Charles Krifcher | Specialist | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-02-14 |
| 1518117373 | Carmen Joseph Scolieri | Occupational Therapist | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-09-29 |
| 1629231972 | Sonja Eckstrom | Occupational Therapist | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-07-08 |
| 1255506549 | Leland Rose | Counselor | 400 Holland Ave, Braddock, PA 15104 | 2008-04-28 |
| 1144493503 | Curt David Bell | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-08 |
| 1134392681 | Michelle Lynne Leddon | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-04 |
| 1811169519 | Nancy Jean Feth | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1245403922 | Edward Richard Williams | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1124291877 | Jeanne Nicole Matucheski | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1265604029 | Melissa Marie Gorman | Social Worker | 400 Holland Ave, Unit 5 East, Braddock, PA 15104-1599 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941340 | Dominique K Davis | Prosthetic/Orthotic Supplier | 700 Parker Ave Apt 9, Braddock, PA 15104 | 2017-09-19 |
| 1497270540 | Rc Jones Transportation, LLC | Private Vehicle | 134 Harriet Street, Rankin, PA 15104 | 2017-08-10 |
| 1841600400 | Anisa Tate | Counselor | 732 Braddock Ave, Braddock, PA 15104 | 2014-05-05 |
| 1972843050 | Jessica Lynn Gurley | Social Worker | 910 Braddock Ave, Braddock, PA 15104 | 2013-02-26 |
| 1588000152 | Anne Jennings | Family Medicine | 501 Braddock Ave, Braddock, PA 15104 | 2013-05-22 |
| 1124294582 | Michael Albert Bandola | Counselor | 5 East, Upmc Braddock Hospital, Braddock, PA 15104 | 2008-05-06 |
| 1932274768 | Primary Care Health Services Inc. | Clinic/Center | 300 Rankin Blvd, Rankin, PA 15104-1066 | 2006-11-20 |
| 1528125986 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2007-01-03 |
| 1780964692 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2011-08-23 |
| 1013241264 | Stacy Martin | Counselor | 251 Fleet St, Rankin, PA 15104-1150 | 2009-09-21 |
| Find all providers in zip 15104 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124294582 | Michael Albert Bandola | Counselor | 5 East, Upmc Braddock Hospital, Braddock, PA 15104 | 2008-05-06 |
| 1255506549 | Leland Rose | Counselor | 400 Holland Ave, Braddock, PA 15104 | 2008-04-28 |
| 1144493503 | Curt David Bell | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-08 |
| 1134392681 | Michelle Lynne Leddon | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-04 |
| 1811169519 | Nancy Jean Feth | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1245403922 | Edward Richard Williams | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1124291877 | Jeanne Nicole Matucheski | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896851 | Laurelcare South/west LLC | Counselor | 1200 Brooks Ln Ste 210, Jefferson Hills, PA 15025-3761 | 2020-09-23 |
| 1750993325 | Dennis Lee Haynes Jr. | Counselor | 3501 Forbes Ave Fl 9, Pittsburgh, PA 15213-3317 | 2020-08-17 |
| 1992314850 | Finding Her Way, LLC | Counselor | 501 Valley Brook Rd Ste 204b, Mc Murray, PA 15317-3428 | 2020-07-27 |
| 1922626035 | Jane-marie Kennedy | Counselor | 2970 Corporate Ct Ste 1, Orefield, PA 18069-3158 | 2020-07-07 |
| 1871110270 | Randy Paul Macsisak | Counselor | 451 Chew St Ste 106, Allentown, PA 18102-3412 | 2020-07-01 |
| 1215554233 | Scott T Reiman | Counselor | 1224 Whitehall Ave, Easton, PA 18045-5621 | 2020-06-26 |
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1902420425 | Harry Shane Falwell | Counselor | 2203 W Liberty St, Allentown, PA 18104-4323 | 2020-06-01 |
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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.