KELLY ANN CALLAGHAN (NPI# 1538604319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538604319 |
| Entity Type | Individual |
| Full Name | KELLY ANN CALLAGHAN |
| Credential | LMSW |
| Practice Address |
2025 Richmond Ave Suite 200 Staten Island NY 10314-3937 |
| Practice Telephone | 7184770961 |
| Practice Fax Number | 7186981753 |
| Mailing Telephone | 7184770961 |
| Mailing Fax Number | 7186981753 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 098833 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609347772 | Kelly Callaghan | Speech-Language Pathologist | 5221 Harvey Ave, Western Springs, IL 60558-2046 | 2018-12-16 |
| Street Address |
2025 RICHMOND AVE SUITE 200 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679550578 | Frank Tarantini | Surgery | 2025 Richmond Ave, Suite 1ll, Staten Island, NY 10314-3937 | 2005-12-30 |
| 1356984884 | Lisa Bilella Certified Registered Nurse Anesthetist Services of Ny Pll | Nurse Anesthetist, Certified Registered | 2025 Richmond Ave, Staten Island, NY 10314-3937 | 2019-10-28 |
| 1194239962 | Jacqueline Allen | Specialist/Technologist, Other | 2025 Richmond Ave, Staten Island, NY 10314-3937 | 2017-11-30 |
| 1932611621 | Eliana Sarit | Dentist | 2025 Richmond Ave, Staten Island, NY 10314-3937 | 2017-11-02 |
| 1710408257 | Heather Haim | Speech-Language Pathologist | 2025 Richmond Ave, Staten Island, NY 10314-3937 | 2017-07-06 |
| 1700318565 | Fran Bruno Md PC | Anesthesiology | 2025 Richmond Ave, Staten Island, NY 10314-3937 | 2017-03-31 |
| 1821530767 | Eunjung Lee | Specialist/Technologist | 2025 Richmond Ave, Staten Island, NY 10314-3937 | 2016-11-09 |
| 1659820041 | Cristina Smith | Specialist | 2025 Richmond Ave, 200, Staten Island, NY 10314-3937 | 2016-09-26 |
| 1033662150 | Stephanie Roxana Gutierrez | Specialist | 2025 Richmond Ave, Suite 200, Staten Island, NY 10314-3937 | 2016-07-25 |
| 1932575933 | Dustin Murry | Specialist | 2025 Richmond Ave, Suite 200, Staten Island, NY 10314-3937 | 2015-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395463 | Mk Star Inc | Specialist | 104 Linwood Ave, Staten Island, NY 10305-4400 | 2020-10-31 |
| 1699374587 | Wendy Delores Cruz | Specialist | 35 Tanglewood Dr, Staten Island, NY 10308-1853 | 2020-10-21 |
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1558968354 | Danamarie Bolusi | Specialist | 134 Butler Ave, Staten Island, NY 10307-1207 | 2020-10-05 |
| 1164033320 | Andrea Balsamo | Specialist | 170 Overlook Ave, Staten Island, NY 10304-3006 | 2020-08-12 |
| 1699386912 | Anastasia Chernysheva | Specialist | 552b Greeley Ave, Staten Island, NY 10306-5808 | 2020-08-11 |
| 1750909842 | Diane Marie Trimarchi | Specialist | 139 Cedar Grove Ct, Staten Island, NY 10306-5703 | 2020-07-06 |
| 1225653264 | Taly Liberman | Specialist | 467 Saint Marks Pl, Staten Island, NY 10301-2408 | 2020-06-16 |
| 1477174431 | Danielle Bennett | Specialist | 35 Bryan St, Staten Island, NY 10307-1503 | 2020-04-30 |
| 1275164626 | Lauren Angela Lobasso | Specialist | 22 Brandis Ln, Staten Island, NY 10312-2070 | 2020-02-03 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on KELLY ANN CALLAGHAN.
| 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.