CHRISTOPHER KELLY (NPI# 1588023857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588023857 |
Entity Type | Individual |
Full Name | CHRISTOPHER KELLY |
Credential | LPC |
Practice Address |
630 Park St Apt B Charlottesville VA 22902-4642 |
Mailing Address |
4000 City Walk Way, Apt. #116 Charlottesville VA 22902-4642 |
Practice Telephone | 4128491204 |
Mailing Telephone | 4128491204 |
Enumeration Date | 2016-02-16 |
Last Update Date | 2016-11-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
0701006537 | VA | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
PC007917 | PA | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
PRC14581 | DC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538589486 | Christopher Kelly | Occupational Therapy Assistant | 10 Trap Rock Cir, New City, NY 10956-6919 | 2014-04-18 |
1093136558 | Christopher Kelly | Pharmacist | 4275 Summers Place Dr, Olive Branch, MS 38654-7284 | 2013-12-30 |
1548695380 | Christopher Kelly | Acupuncturist | 9 Chandler Rd, Andover, MA 01810-2814 | 2013-09-12 |
1588923247 | Christopher Kelly | Specialist | 475 Atkinson, 1405, Honolulu, HI 96814 | 2012-05-15 |
1720122583 | Christopher P Kelly | Surgery | 11464 S Parkway Plaza Dr Ste 300, South Jordan, UT 84095-6053 | 2007-02-16 |
1356314991 | Christopher L Kelly | Specialist | 1830 14th Ave S, Birmingham, AL 35205-4969 | 2006-02-13 |
1073511788 | Christopher B. Kelly | Specialist | 3330 Preston Ridge Rd Ste 240, Alpharetta, GA 30005-4540 | 2005-07-07 |
1396741344 | Christopher Kelly | Ophthalmology | 366 Colt Hwy, Farmington, CT 06032-2547 | 2005-06-23 |
1649870536 | Christopher Francis Kelly | Physical Therapist | 4007 Merrick Rd, Seaford, NY 11783-2831 | 2020-10-29 |
1306443106 | Christopher Kelly | Physical Therapist | 205 Clark Ave Ste 4, Ames, IA 50010-3311 | 2020-10-05 |
Street Address |
630 PARK ST APT B |
City | CHARLOTTESVILLE |
State | VA |
Zip Code | 22902-4642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
Find all providers in zip 22902 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962464 | Stefanie Newman | Counselor | 2340 Commonwealth Dr Fl 1, Charlottesville, VA 22901-1634 | 2020-11-06 |
1922606946 | Elaine Zagami | Counselor | 1406 Gentry Ln Unit B, Charlottesville, VA 22903-1320 | 2020-10-12 |
1932712841 | Danielle Keller | Counselor | 1337 Gate Post Ln, Charlottesville, VA 22901-9590 | 2020-08-29 |
1053920850 | Lily Meiss | Counselor | 1384 Wimbledon Way, Charlottesville, VA 22901-0635 | 2020-07-28 |
1992324164 | Catherine Michele O'connell | Counselor | 348 Key West Dr, Charlottesville, VA 22911-8426 | 2020-04-08 |
1780219972 | Valerie Sue Stolicker | Counselor | 810 Henry Ave Apt 201, Charlottesville, VA 22903-5275 | 2020-03-08 |
1518519081 | Kristin Morgan | Counselor | 726 Cargil Ln, Charlottesville, VA 22902-4302 | 2019-07-15 |
1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
1295205912 | Matthew Lamb Lpc LLC | Counselor | 936 Charlton Ave, Charlottesville, VA 22903-5205 | 2018-11-26 |
1831679141 | Andrew R Tyer | Counselor | 963 2nd St Se, Charlottesville, VA 22902-6172 | 2018-08-16 |
Find all providers in CHARLOTTESVILLE |
City | CHARLOTTESVILLE |
Zip Code | 22902 |
Please comment or provide details below to improve the information on CHRISTOPHER KELLY.
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.