KELLY BOLGER (NPI# 1568812832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568812832 |
| Entity Type | Individual |
| Full Name | KELLY BOLGER |
| Credential | PH.D. |
| Practice Address |
3517 Camp St 1/2 New Orleans LA 70115-2535 |
| Mailing Address |
3517 1/2 Camp St New Orleans LA 70115-2535 |
| Practice Telephone | 5044527478 |
| Mailing Telephone | 5044527478 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1368 | LA | Behavioral Health & Social Service Providers |
| Street Address |
3517 CAMP ST 1/2 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70115-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028223 | Michael C O'hara | Social Worker | 2016 Jena Street, New Orleans, LA 70115 | 2020-09-22 |
| 1972156487 | Allison Leigh Champagne | Advanced Practice Midwife | 4500 Clara St, New Orleans, LA 70115 | 2019-07-23 |
| 1558838151 | Ouida Francis Forsyth | Speech-Language Pathologist | 3317 Chestnut Street, New Orleans, LA 70115 | 2018-11-01 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
| 1093202525 | Michael Anthony Bosco | Physical Therapist | 4500 Magazine St Ste 3, New Orleans, LA 70115 | 2018-04-19 |
| 1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
| 1669907879 | Quinton Franklin | Counselor | 2537 Marengo St, New Orleans, LA 70115 | 2017-04-25 |
| 1073050340 | Katy Elizabeth Thomassie | Case Manager/Care Coordinator | 1033 Marengo St, New Orleans, LA 70115 | 2017-01-25 |
| 1386187979 | John Perkins | Case Manager/Care Coordinator | 1926 Constantinople St., New Orleans, LA 70115 | 2016-11-30 |
| Find all providers in zip 70115 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378848 | Lifesource of North Carolina | Psychologist | 8315 Zimpel St, New Orleans, LA 70118-1169 | 2020-05-20 |
| 1396397816 | Eileen Marie Palace | Psychologist | 2820 Napoleon Ave Ste 340, New Orleans, LA 70115-6977 | 2019-07-15 |
| 1356906812 | Jinaki Flint | Psychologist | 7934 Edinburgh Street, New Orleans, LA 70125 | 2019-05-09 |
| 1518452036 | Leigh Miller | Psychologist | 7611 Maple St Ste A2, New Orleans, LA 70118-5068 | 2018-06-27 |
| 1407395411 | Center for Resilience Inc | Psychologist | 2603 Baronne St, New Orleans, LA 70113 | 2017-02-23 |
| 1992256200 | Rebecca Anne Elliott Smith | Psychologist | 2738 General Pershing Street, New Orleans, LA 70115 | 2016-10-21 |
| 1780131185 | The Color Gallery, Inc. | Psychologist | 2220 Oretha Castle Haley Blvd, New Orleans, LA 70113-1508 | 2016-09-02 |
| 1568833242 | Brian Lamar Turner | Psychologist | 2105 Arts St, New Orleans, LA 70117-7611 | 2015-10-07 |
| 1740667146 | Jared Ian Israel | Psychologist | Brent House, 1514 Jefferson Highway, New Orleans, LA 70121 | 2015-05-05 |
| 1497175103 | Allison Palmisano | Psychologist | 1529 Jackson Ave # 2, New Orleans, LA 70130 | 2014-04-21 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70115 |
Please comment or provide details below to improve the information on KELLY BOLGER.
| 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.