MARY JO ANNE KELLY (NPI# 1558803809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558803809 |
Entity Type | Individual |
Full Name | MARY JO ANNE KELLY |
Credential | PMHNP-BC |
Practice Address |
1014 Whitehead Road Ext Ewing NJ 08638-2406 |
Practice Telephone | 6097713777 |
Practice Fax Number | 6097718041 |
Mailing Telephone | 6097713777 |
Mailing Fax Number | 6097718041 |
Enumeration Date | 2016-11-16 |
Last Update Date | 2016-11-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26NJ00669700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578068185 | Mary Jo Kelly | Occupational Therapist | 3327 Island Rd, Blountville, TN 37617-3648 | 2018-03-26 |
Street Address |
1014 WHITEHEAD ROAD EXT |
City | EWING |
State | NJ |
Zip Code | 08638-2406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275938193 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2014-11-04 |
1427611185 | Phoenix Support Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2019-04-18 |
1992267132 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2019-04-05 |
1659869576 | Justin Dunn | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-26 |
1316435266 | Parizatis R Alaie | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-26 |
1255829263 | Alaina Chapman | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
1811485824 | Himie Wesley | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
1881182897 | Francesca Scirocco | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
1386132397 | Gabrielle Petosa | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
1356839369 | Dayna Giel | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114493244 | Dungarvin New Jersey, LLC - Whitehead II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 | 2018-10-16 |
1285145714 | Lifeties Inc. | Social Worker | 2205 Pennington Road, Trenton, NJ 08638 | 2017-10-24 |
1720502792 | Rola Behavioral Services LLC | Registered Nurse | 1676 North Olden Ave, Bldg 1, Ewing, NJ 08638 | 2017-08-01 |
1295264562 | Ijeoma Audrey Okpara | Behavior Technician | 67 Oak Street, Trenton, NJ 08638 | 2017-06-08 |
1962878736 | Meals On Wheels of Mercer County, Inc. | Home Delivered Meals | 320 Hollowbrook Drive, Ewing, NJ 08638 | 2015-08-17 |
1770917031 | Erica Jane Mclaughlin | Physician Assistant | 750 Bruinswick Ave, Trenton, NJ 08638 | 2013-08-22 |
1396013975 | Capital Health | General Acute Care Hospital | 832 Brunswick Ave., Trenton, NJ 08638 | 2011-12-09 |
1174800197 | Kashif Syed Anwar | Family Medicine | 1450 Parkside Ave Ste 5, Ewing, NJ 08638 | 2011-11-04 |
1235394578 | Neuromechanical Pain Management Associates PC | Chiropractor | 1330 Calhoun Street, Suite 2, Trenton, NJ 08638 | 2008-07-25 |
1861684185 | Youth Education and Transition Services | Counselor | 702 Brunswick Ave, Trenton, NJ 08638 | 2007-08-10 |
Find all providers in zip 08638 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982243937 | Tonnesha Kidd | Nurse Practitioner | 3 Chelmsford Dr, Ewing, NJ 08618-1809 | 2019-12-22 |
1083250484 | Olasumbo Oladeru | Nurse Practitioner | 4 Boleyn Ct, Ewing, NJ 08628-2231 | 2019-11-20 |
1740642503 | Lissa Edmond | Nurse Practitioner | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2016-03-22 |
1588281505 | Nerlande Charles | Nurse Practitioner | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456 | 2020-06-26 |
1578112587 | Titilayo Julianah Gureje | Nurse Practitioner | 101 Sullivan Way, Ewing, NJ 08628-3425 | 2019-09-11 |
1215584107 | Carline F Archille | Nurse Practitioner | 101 Sullivan Way, Ewing, NJ 08628-3425 | 2019-08-24 |
1225510308 | Vaishali Desai | Nurse Practitioner | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456 | 2018-09-05 |
1366814022 | Mahip Gupta | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-10-21 |
1003158502 | Grant Marshall Myers | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2013-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699943 | Ernest Akwaboah | Nurse Practitioner | 87 Burnett Ave, Maplewood, NJ 07040-3094 | 2020-11-04 |
1548861081 | Temitope Akande | Nurse Practitioner | 557 Liberty St, Orange, NJ 07050-1275 | 2020-11-02 |
1538767587 | Ruth Yamoah-cofie | Nurse Practitioner | 1160 E 7th St, Plainfield, NJ 07062-1906 | 2020-10-13 |
1336756170 | Jacqueline Michele Arnone | Nurse Practitioner | 105 Windward Dr, Manahawkin, NJ 08050-3345 | 2020-09-25 |
1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
1841804960 | Claudette L Blake | Nurse Practitioner | 890 Terrill Rd, Plainfield, NJ 07062-2250 | 2020-09-04 |
1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
1871106088 | Firmin Langyin | Nurse Practitioner | 200 Station Dr Apt 207, Avenel, NJ 07001-1793 | 2020-08-26 |
1205448859 | Yanick E Jean | Nurse Practitioner | 32 Deerfield Dr, West Orange, NJ 07052-3627 | 2020-08-17 |
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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.