MR. MARTIN AKIWANDE KELLY SR. (NPI# 1558778571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558778571 |
| Entity Type | Individual |
| Full Name | MR. MARTIN AKIWANDE KELLY SR. |
| Practice Address |
50 Redfield St Suite 300 Dorchester MA 02122-3630 |
| Practice Telephone | 6172887450 |
| Mailing Telephone | 6172887450 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801008156 | Martin Frederick Kelly | Pharmacist | 19 County Route 401, Greenville, NY 12083-2100 | 2007-05-07 |
| 1851575476 | Martin J Kelly | Nurse Anesthetist, Certified Registered | 2710 Rife Medical Ln, Rogers, AR 72758-1452 | 2007-12-18 |
| 1447300702 | Martin J. Kelly | Physician Assistant | 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 | 2007-01-11 |
| 1437215951 | Martin J. Kelly | Counselor | John Dempsey Hospital, 263 Farmington Avenue, Mc-6410, Farmington, CT 06030-0001 | 2006-12-29 |
| 1710951678 | Martin J. Kelly | Pediatrics | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2006-02-15 |
| 1255322426 | Martin Joseph Kelly | Psychiatry & Neurology | 850 Boylston St, Dept of Psychiatry Ste 303, Chestnut Hill, MA 02467-2477 | 2005-11-04 |
| Street Address |
50 REDFIELD ST SUITE 300 |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548439797 | Rebecca Gallo | Social Worker | 50 Redfield St, Suite 302, Dorchester, MA 02122-3630 | 2008-02-21 |
| 1952908402 | Rodney Harris | Marriage & Family Therapist | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-10-07 |
| 1790392272 | Thylia K Duporte | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-09-28 |
| 1417575390 | Melissa Anne Bloom | Student in an Organized Health Care Education/Training Program | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-07-08 |
| 1699392456 | Hannah Burford | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-06-28 |
| 1114552031 | Danielle Ferriola | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-03-11 |
| 1013550755 | Hannah Enoy | Case Manager/Care Coordinator | 50 Redfield St, Dorchester, MA 02122-3630 | 2019-10-25 |
| 1982255535 | Jeffrey Osborne | Counselor | 50 Redfield St, Dorchester, MA 02122-3630 | 2019-09-25 |
| 1407329022 | Kyle Richardson | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2019-01-07 |
| 1811460728 | James Alexander Baez | Counselor | 50 Redfield St, Dorchester, MA 02122-3630 | 2019-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1720432735 | Fard Muhammad | Counselor | 60 Crescent Ave Apt 2, Dorchester, MA 02125-1247 | 2016-04-15 |
| 1801257555 | Maribeth Martin | Counselor | 415 Neponset Ave Ste 6, Dorchester, MA 02122-3169 | 2016-03-09 |
| 1598120636 | Morgan Taylor | Counselor | 85 Stoughton St, Apt 5, Dorchester, MA 02125-1960 | 2015-12-16 |
| 1952787541 | Kathy Javier | Counselor | 365 Centre St, Dorchester, MA 02122-1128 | 2015-08-05 |
| 1336536630 | Gale Coplin | Counselor | 387 Talbot Ave, #4, Dorchester, MA 02124-3651 | 2015-04-24 |
| 1316334493 | Ayshia Williamson | Counselor | 15 Cawfield St, Apt 2, Dorchester, MA 02125-2217 | 2015-04-16 |
| 1295143113 | Jeannine Dykens | Counselor | 28 Melbourne St Apt 3, Dorchester, MA 02124-2469 | 2014-07-23 |
| 1366857104 | Kara Cobb | Counselor | 55 Thetford Ave Apt 3, Dorchester, MA 02124-4313 | 2014-06-30 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
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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.