KELLY MACDONALD (NPI# 1528453677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528453677 |
| Entity Type | Individual |
| Full Name | KELLY MACDONALD |
| Credential | MD |
| Practice Address |
Usa Meddac 11050 Mount Belvedere Blvd Fort Drum NY 13602-5004 |
| Mailing Address |
Usa Meddac 11050 Mount Belvedere Blvd Fort Drum NY 13602 |
| Practice Telephone | 3157722778 |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101261257 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275178915 | Kelly Brooks Macdonald | Registered Nurse | 1856 Perry Blvd Nw, Atlanta, GA 30318-4052 | 2019-11-15 |
| 1225594641 | Kelly Marie Macdonald | Pharmacist | 5607 Morning Mist Dr, Harrisburg, PA 17111-3737 | 2019-02-11 |
| 1831534221 | Kelly Macdonald | Speech-Language Pathologist | 1118 N Milpas St, Apt B, Santa Barbara, CA 93103-2336 | 2013-04-30 |
| 1275864316 | Kelly Macdonald | Licensed Practical Nurse | 131 Warnecke Dr, Clyde, OH 43410-1970 | 2010-01-28 |
| 1982122263 | Kelly Erin Macdonald | Physical Therapist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2017-09-06 |
| 1538331392 | Kelly Robin Macdonald | Pharmacist | 75 Spring St, West Roxbury, MA 02132-4335 | 2008-04-01 |
| 1053455030 | Kelly L Macdonald | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2007-02-16 |
| 1396896163 | Kelly Macdonald | Physical Therapist | 246 1st St, Suite 101, San Francisco, CA 94105-2636 | 2007-01-16 |
| 1487726469 | Kelly M Macdonald | Optometrist | 505 W Hollis St, Nashua, NH 03062-1358 | 2006-11-14 |
| Street Address |
USA MEDDAC 11050 MOUNT BELVEDERE BLVD |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538159512 | Jacqueline L Lucas | Social Worker | Usa Meddac, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-5004 | 2005-10-21 |
| 1497365563 | John Lewis Mcafee | Student in an Organized Health Care Education/Training Program | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2020-08-04 |
| 1831746916 | Lindsay Caroline Wise | Physical Therapist | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-08-22 |
| 1215454855 | Emily Alexis Bartlett | Physical Therapist | Usa Meddac, 11050 Mount Belvedere Boulevard, Fort Drum, NY 13602-5004 | 2017-08-24 |
| 1841727534 | Faith Catherine Elise Moore | Internal Medicine | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2017-05-12 |
| 1679932115 | Cornelia J Willis | Internal Medicine | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2016-02-11 |
| 1982083812 | Griffin Matthew Biedron | Orthopaedic Surgery | Usa Meddac, 11050 Mt. Belvedere Blvd, Fort Drum, NY 13602 | 2015-05-26 |
| 1740680875 | Wesley Snow | Pharmacist | Usa Meddac, 11050 Mt. Belvedere Blvd, Fort Drum, NY 13602 | 2014-08-26 |
| 1689916439 | Stephen Keller | Psychologist | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2013-03-20 |
| 1023092335 | Kenneth Herbert Thomas Jr. | Counselor | Usa Meddac, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-4025 | 2005-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992135305 | Andrew Slye | Psychiatry & Neurology | 10000 10th Mountain Div Dr, Fort Drum, NY 13602 | 2013-11-21 |
| 1487960332 | Peter Saulius Armanas | Psychiatry & Neurology | 11050 Mount Belvedere Boulevard, Fort Drum, NY 13602 | 2010-08-28 |
| 1912148834 | Peter Leo Cuff | Psychiatry & Neurology | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2009-03-23 |
| 1104873751 | Sofia Matta | Psychiatry & Neurology | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2006-05-28 |
| 1205825304 | Paul M Morrissey | Psychiatry & Neurology | 11050 Mount Belvedere Blvd, Usa Meddac Bhd, Fort Drum, NY 13602-5004 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850276 | Nyc Psychiatric Associates | Psychiatry & Neurology | 385 5th Ave Rm 1106, New York, NY 10016-3340 | 2020-10-30 |
| 1063010718 | Integrative Medicine Psychiatry P.C. | Psychiatry & Neurology | 200 Prospect Park W Ste 1r, Brooklyn, NY 11215-5717 | 2020-10-14 |
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1356955934 | Hillside Tms Pllc | Psychiatry & Neurology | 1575 Hillside Ave Ste 208, New Hyde Park, NY 11040-2501 | 2020-09-01 |
| 1730706169 | Scott Dibartolo | Psychiatry & Neurology | 426 W 45th St Apt 5fe, New York, NY 10036-9066 | 2020-07-01 |
| 1669096699 | Preserving Healthy Minds, Nurse Practitioner of Psychiatry Pllc | Psychiatry & Neurology | 493 Shoddy Hollow Rd, Middletown, NY 10940-7509 | 2020-06-05 |
| 1104449701 | Clear Minds Nyc, LLC | Psychiatry & Neurology | 210 E 121st St Apt 2m, New York, NY 10035-3053 | 2020-05-19 |
| 1215556774 | Allexian, LLC | Psychiatry & Neurology | 418 E 71st St Ph Fl, New York, NY 10021-4894 | 2020-04-14 |
| 1427682350 | Brian Francis Esposito | Psychiatry & Neurology | 435 E 70th St Apt 27h, New York, NY 10021-5349 | 2020-02-29 |
| 1972135416 | Cnypsychiatry | Psychiatry & Neurology | 1/2 Orange St Ste 2, Marcellus, NY 13108-1216 | 2020-02-12 |
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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.