DR. DENNIS ALLAN KELLY (NPI# 1518919174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518919174 |
| Entity Type | Individual |
| Full Name | DR. DENNIS ALLAN KELLY |
| Credential | PH.D. |
| Practice Address |
Psychology Dept. Madigan Army Medical Center Tacoma WA 98431-0001 |
| Mailing Address |
2645 W Lynn St Seattle WA 98199-3522 |
| Practice Telephone | 2539682784 |
| Mailing Telephone | 2062868338 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY00001476 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902023757 | Dennis A Kelly | General Practice | University Park Helath Ctr, 849 W 34th St, Los Angeles, CA 90089-0311 | 2007-04-20 |
| 1114984762 | Dennis Michael Kelly Jr. | Physical Therapist | 2235 N Sheffield Ave, Chicago, IL 60614-3621 | 2006-04-27 |
| 1417947748 | Dennis Hughes Kelly IIi | Internal Medicine | 7704 Marine Rd, North Bergen, NJ 07047-6203 | 2005-10-27 |
| 1558421446 | Dennis Clay Kelly | Psychiatry & Neurology | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-12-11 |
| 1114028529 | Dennis F Kelly | Dentist | 2005 Knight Lane Navy Medicine Support Command, Attn: Medical Staff Services Bldg. H, Jacksonville, FL 32212-0140 | 2006-09-26 |
| 1114939162 | Dennis B. Kelly | Internal Medicine | 1401 Harrodsburg Rd Ste A300, Lexington, KY 40504-3787 | 2006-08-11 |
| 1619909793 | Dennis G Kelly | Orthopaedic Surgery | 27483 Dequindre Rd, Suite 303a, Madison Heights, MI 48071-3491 | 2006-07-07 |
| 1376524132 | Dennis William Kelly Jr. | Dentist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2005-11-09 |
| 1104824093 | Dennis L Kelly | Anesthesiology | 88 Mcgregor St, Ste 303, Manchester, NH 03102-3750 | 2005-07-13 |
| Street Address |
PSYCHOLOGY DEPT. MADIGAN ARMY MEDICAL CENTER |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588163208 | Johanah Y Kang | Clinical Neuropsychologist | 2013 South 19th Street, Tacoma, WA 98405 | 2018-02-08 |
| 1649599572 | Troy J Stettler | Clinical Neuropsychologist | 9600 Veterans Drive 116 Mhc, Tacoma, WA 98493-0001 | 2010-05-17 |
| 1376868307 | Alycia Shannon Zink | Clinical Neuropsychologist | 9900 Veterans Drive, Tacoma, WA 98493-1522 | 2010-04-01 |
| 1629279005 | April Fritch | Clinical Neuropsychologist | 9040 Fitzsimmons Ave, Tacoma, WA 98433 | 2007-05-31 |
| 1063624104 | John Allan Ernst | Clinical Neuropsychologist | 1717 S J St # Ms 02-12, St Joseph Medical Center, Tacoma, WA 98405-4933 | 2007-05-03 |
| 1811034481 | David R Knopes | Clinical Neuropsychologist | 2013 S 19th St, Tacoma, WA 98405-2920 | 2007-01-31 |
| 1790833010 | Audrey Jean Don | Clinical Neuropsychologist | 1916 S Washington St, Tacoma, WA 98405-1025 | 2007-01-05 |
| 1316050271 | Monna Wier | Clinical Neuropsychologist | 9900 Veterans Dr,american Lake Div. Vapshcs, Psychological Assessment, A-116-b, Tacoma, WA 98493-5000 | 2006-08-16 |
| 1518971332 | Edwin Lawrence Hill | Clinical Neuropsychologist | 2013 So 19th, Tacoma, WA 98405-2920 | 2006-07-28 |
| 1023049343 | Lance A Harris | Clinical Neuropsychologist | 3001 E J St, Tacoma, WA 98404-3220 | 2006-07-05 |
| Find all providers in TACOMA | ||||
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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.