ANN MARIE KELLEY


Address: 1001 West Ave, Austin, TX 78701-2071
Phone: 5127847244

ANN MARIE KELLEY (NPI# 1568584977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568584977
Entity Type Individual
Full Name ANN MARIE KELLEY
Credential PH.D.
Practice Address 1001 West Ave
Austin
TX 78701-2071
Practice Telephone 5127847244
Practice Fax Number 5125429027
Mailing Telephone 5127847244
Mailing Fax Number 5125429027
Enumeration Date 2007-04-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103TC0700X Psychologist
Specialization: Clinical
25629 TX Behavioral Health & Social Service Providers
X 103TF0000X Psychologist
Specialization: Family
25629 TX Behavioral Health & Social Service Providers
X 103TF0200X Psychologist
Specialization: Forensic
25629 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUE CROSS BLUE SHEILD 0034MX 01

Other Providers ANN KELLEY

NPI Name Taxonomy Address Enumeration
1184718777 Ann Kelley Dentist 12308 Ne 144th Street, Kirkland, WA 98034 2006-10-03
1912395351 Ann Kelley Psychologist 301 S Perimeter Park Dr, Suite 210, Nashville, TN 37211-4143 2015-01-08

Office Location

Street Address 1001 WEST AVE
City AUSTIN
State TX
Zip Code 78701-2071

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NPI Name Taxonomy Address Enumeration
1710501820 Megan Elise Gittins Student in an Organized Health Care Education/Training Program Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 2020-06-04
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1992326078 Sarah N Ibanez Shaw Emergency Medicine Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 2020-04-30
1215558689 Margaret Marie Coates Student in an Organized Health Care Education/Training Program 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 2020-04-27
1740817956 Woody Starcloud Green Emergency Medicine Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 2020-03-26
1235771403 Central Ortho Assists Pllc Physician Assistant 501 Congress, Suite 150, Austin, TX 78701 2019-10-09
1114575792 Shyneice Lasha Gaddis Behavior Technician 100 Congress Ave Suite 2000, Austin, TX 78701 2019-08-28
1245887355 Jonathan Thomas Mason Family Medicine 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 2019-08-22
1538726195 Zahra Virginia Cain-akbar Student in an Organized Health Care Education/Training Program Ut Dell Medical, 1500 Red River St, Austin, TX 78701 2019-05-20
1457918021 Sara Lugonjic Student in an Organized Health Care Education/Training Program Ut Austin Dell Medical School Neurology Program, 1400 Ih- 35, Cec 300, Austin, TX 78701 2019-05-20
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184241598 Mellissa Tong Psychologist 113 W 33rd St, Austin, TX 78705-2313 2020-07-01
1235754201 Amanda Max Hilberg Psychologist 5900 Balcones Dr Ste 190, Austin, TX 78731-4295 2020-06-15
1427682871 Charnel Hollier Psychologist 1500 W 38th St Ste 31, Austin, TX 78731-6318 2020-02-25
1053950329 Erin G Underbrink Newins Psychologist 2100 Pipers Field Dr Apt 36, Austin, TX 78758-2548 2020-01-03
1629553953 Pulverman Psychological Services, Pllc Psychologist 3160 Bee Caves Rd Ste 300, Austin, TX 78746-5591 2018-10-02
1770079071 Donna Carpenter Psychologist 3724 Jefferson St Ste 200, Austin, TX 78731-6221 2018-07-10
1942790068 Julia Jeannette Zenteno-montez Psychologist 7901 Metropolis Dr # 11a-2, Austin, TX 78744-3111 2018-05-14
1558861583 Dr. Jillian Racine Psychologist 8140 N Mopac Expy Ste 3-225, Austin, TX 78759-8862 2018-02-16
1063921708 Mariel Smith Cannady Psychologist 4407 Pack Saddle Pass, Austin, TX 78745-1623 2017-09-26
1386161750 Jessica A Peller Psychologist 9701 Brodie Ln Ste 205, Austin, TX 78748-6284 2017-08-27
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Competitor

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City AUSTIN
Zip Code 78701

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Dataset Information

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.

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