DR. KELLY KEARNS (NPI# 1568775211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568775211 |
| Entity Type | Individual |
| Full Name | DR. KELLY KEARNS |
| Credential | PSYD |
| Practice Address |
101 Eisenhower Pkwy Ste 300 Roseland NJ 07068-1054 |
| Mailing Address |
2456 Horseshoe Dr East Stroudsburg PA 18301-8122 |
| Practice Telephone | 6306737914 |
| Practice Fax Number | 9736774253 |
| Mailing Telephone | 6306737914 |
| Mailing Fax Number | 9736774253 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 35SI00484400 | NJ | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 101-A438 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1199 Pleasant Valley Way, West Orange, NJ 070521424 | 9734144708 | |
| 611 N Maple Ave Ste 10, Ho Ho Kus, NJ 074231668 | 8009999999 |
| Street Address |
101 EISENHOWER PKWY STE 300 |
| City | ROSELAND |
| State | NJ |
| Zip Code | 07068-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902379001 | Essex Psychiatric and Recovery PC | Psychiatry & Neurology | 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054 | 2019-01-10 |
| 1740739846 | Lauren Goodwyn | Behavioral Analyst | 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054 | 2016-09-29 |
| 1497104277 | Birlencare LLC | Home Health | 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054 | 2016-06-13 |
| 1710368188 | Behavioral and Educational Solutions and Training of Nj, LLC | Psychiatric Residential Treatment Facility | 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054 | 2015-06-11 |
| 1285923573 | Jeffrey Hall | Psychiatry & Neurology | 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496845 | Dheeraj Muddasani | Student in an Organized Health Care Education/Training Program | 43 Barretta Ct, Roseland, NJ 07068 | 2018-05-07 |
| 1477094472 | Shp V Roseland, LLC | Alzheimer Center (Dementia Center) | 345 Eagle Rock Avenue, Roseland, NJ 07068 | 2017-03-10 |
| 1699103663 | Jennifer Karen Lenci | Social Worker | 204 Eagle Rock Ave., Roseland, NJ 07068 | 2013-10-29 |
| 1083768469 | Elaine C Terry Garrod | Psychologist | 38 Roseland Avenue, Roseland, NJ 07068 | 2007-01-22 |
| 1750453833 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 45 Eisenhower Pkwy, Roseland, NJ 07068 | 2006-11-14 |
| 1821184417 | Jami Marie Messina | Psychologist | 157 Eagle Roack Avenue, Roseland, NJ 07068 | 2006-10-04 |
| 1578663514 | Florinda R Mangahas | General Practice | 73 Monroe Ave, Roseland, NJ 07068 | 2006-09-22 |
| 1770687071 | Anthony Origlieri | Ophthalmology | 180 Harrison Ave, Roseland, NJ 07068 | 2006-09-08 |
| 1780620682 | Sami M Mamoun | Surgery | 204 Eagle Rock Avenue, Roseland, NJ 07068 | 2006-06-21 |
| 1033179403 | John Vicchio | Physical Therapist | 10 Eisenhower Parkway, Roseland, NJ 07068 | 2006-03-28 |
| Find all providers in zip 07068 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791993 | Dig It | Clinical Neuropsychologist | 5 Elm Ln, Rumson, NJ 07760-1001 | 2019-10-16 |
| 1255981767 | Brian Schopfer | Clinical Neuropsychologist | 792 Chimney Rock Rd Ste C, Martinsville, NJ 08836-2271 | 2019-09-17 |
| 1750866869 | Anjuli Bodapati | Clinical Neuropsychologist | 608 Sherwood Pkwy Ste 2d, Mountainside, NJ 07092 | 2018-09-25 |
| 1619496908 | Hilary F Murphy | Clinical Neuropsychologist | 1451 State Route 34 Ste 201, Wall Township, NJ 07727-1614 | 2017-09-18 |
| 1841653763 | Andrew P Brown IIi | Clinical Neuropsychologist | 31 Clinton St, Newark, NJ 07102-3729 | 2016-03-29 |
| 1053789230 | Lisa Hahn | Clinical Neuropsychologist | 916 Maple Ave, Newton, NJ 07860-4404 | 2015-09-04 |
| 1700264256 | Barbara Lauer Listhaus, Psy. D., LLC | Clinical Neuropsychologist | 513 W Mount Pleasant Ave Ste 210, Livingston, NJ 07039-1721 | 2015-05-15 |
| 1295128882 | Anne Romyr Denor | Clinical Neuropsychologist | 30 John St Apt 2c, Bloomfield, NJ 07003-5142 | 2015-03-06 |
| 1811304660 | Mallory Seidman | Clinical Neuropsychologist | 16 Inness Pl, Montclair, NJ 07042-4923 | 2014-07-14 |
| 1811325152 | Amy L. Hradil | Clinical Neuropsychologist | 2048 Oak Tree Road Center for Head Injuries, Cognitive Rehabilitation Progr, Edison, NJ 08820 | 2013-10-24 |
| Find all providers with the same taxonomy | ||||
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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.