DR. PATRICK ALLEN KELLY (NPI# 1659414365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659414365 |
| Entity Type | Individual |
| Full Name | DR. PATRICK ALLEN KELLY |
| Credential | PSY.D |
| Practice Address |
1540 E Colorado St Glendale CA 91205-1514 |
| Mailing Address |
4760 Sepulveda Blvd Culver City CA 90230-4820 |
| Practice Telephone | 8186385467 |
| Practice Fax Number | 8182435413 |
| Mailing Telephone | 3107515344 |
| Mailing Fax Number | 3107515422 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY20750 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730672833 | Patrick John Kelly | Dentist | 244 Fm 306 Ste 118, New Braunfels, TX 78130-5487 | 2018-06-13 |
| 1851895031 | Patrick Harry Kelly | Counselor | 5435 Bull Valley Rd Ste 230, Mchenry, IL 60050-7435 | 2018-03-21 |
| 1508391665 | Patrick Joel Kelly | Behavior Technician | 814 D St Apt 3, Sacramento, CA 95814-0722 | 2017-04-26 |
| 1720409824 | Patrick John Kelly | Physician Assistant | 3318 Broadway, Astoria, NY 11106-1806 | 2013-12-17 |
| 1881951622 | Patrick S Kelly | Dentist | 9860 Westpoint Dr Ste 100, Indianapolis, IN 46256-3398 | 2012-04-18 |
| 1821365198 | Patrick John Kelly | Physical Therapist | 1841 Broadway Rm 507, Suite 507, New York, NY 10023-7685 | 2011-11-30 |
| 1881971919 | Patrick Ryan Kelly | Registered Nurse | 1600 North Drive, Sioux Falls, SD 57117 | 2011-11-03 |
| 1821322710 | Patrick Kelly | Technician/Technologist | 1490 W Patapsco Ave, Baltimore, MD 21230-3400 | 2009-09-24 |
| 1457518003 | Patrick Britton Kelly | Dentist | 5352b Highway 90 W, Mobile, AL 36619-4202 | 2008-05-21 |
| 1306026919 | Patrick Francis Kelly | Pediatrics | 87 Cambridgepark Dr, Y2010, Cambridge, MA 02140-2311 | 2007-11-12 |
| Street Address |
1540 E COLORADO ST |
| City | GLENDALE |
| State | CA |
| Zip Code | 91205-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295723823 | Kc Pharmacies, Inc. | Pharmacist | 1540 E Colorado St, Glendale, CA 91205-1514 | 2005-10-07 |
| 1861011884 | Leena Mikailian | Case Manager/Care Coordinator | 1540 E Colorado St, Glendale, CA 91205-1514 | 2020-04-09 |
| 1720640451 | Jazmine Nydia Santillan | Social Worker | 1540 E Colorado St, Glendale, CA 91205-1514 | 2019-07-02 |
| 1093277618 | Amparo Ostojic | Case Manager/Care Coordinator | 1540 E Colorado St, Glendale, CA 91205-1514 | 2019-04-02 |
| 1316408701 | Tatevik Zakaryan | Case Manager/Care Coordinator | 1540 E Colorado St, Glendale, CA 91205-1514 | 2019-03-27 |
| 1629541727 | Madeline Zuleyma Roque | Case Manager/Care Coordinator | 1540 E Colorado St, Glendale, CA 91205-1514 | 2019-01-10 |
| 1427529395 | Mark Markarian | Case Manager/Care Coordinator | 1540 E Colorado St, Glendale, CA 91205-1514 | 2018-12-17 |
| 1104394998 | Renee Lee | Marriage & Family Therapist | 1540 E Colorado St, Glendale, CA 91205-1514 | 2018-11-09 |
| 1770058422 | Eileen Ordoukhanjan | Social Worker | 1540 E Colorado St, Glendale, CA 91205-1514 | 2018-10-09 |
| 1588142624 | Ashot Nikoyan | Marriage & Family Therapist | 1540 E Colorado St, Glendale, CA 91205 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
| 1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
| 1801373469 | Lucky Riders Inc. | Non-emergency Medical Transport (VAN) | 1251 Boynton St Apt 1, Glendale, CA 91205 | 2018-07-25 |
| 1669967006 | Happy Life Home Health Care Inc | Home Health | 225 East Broadway St, Suite 203, Glendale, CA 91205 | 2018-06-28 |
| 1841782356 | Liana Hariri | Case Manager/Care Coordinator | 1540 E. Colorodo St., Glendale, CA 91205 | 2018-05-31 |
| 1992202469 | Narek Garukyan Dpm | Clinic/Center | 815 E Colorado St Ste 210, Glendale, CA 91205 | 2018-04-10 |
| 1619496080 | Elite Care Home Health Services Inc | Home Health | 225 E.broadway, Suite B114, Glendale, CA 91205 | 2017-09-16 |
| 1396284980 | Ingrid Pamela Vazquez Solis | Case Manager/Care Coordinator | 1540 E. Colorado Street, Glendale, CA 91205 | 2017-02-16 |
| 1730533670 | Arm Trans Management Company | Non-emergency Medical Transport (VAN) | 627 E. Windsor Rd # 6, Glendale, CA 91205 | 2016-04-18 |
| 1104290824 | Caremore Health Plan | Nurse Practitioner | 406 E. Colorado Street, Glendale, CA 91205 | 2015-11-18 |
| Find all providers in zip 91205 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1871155986 | Jane Bowman Lischwe | Psychologist | 1818 Verdugo Blvd Ste 205, Glendale, CA 91208-1435 | 2019-06-28 |
| 1689143356 | Michael Brendzal | Psychologist | 501 W Glenoaks Blvd # 307, Glendale, CA 91202-2896 | 2018-11-24 |
| 1902251002 | Michael David Mcgady Jr. | Psychologist | 4425 W Olive Ave Ste 151a, Glendale, AZ 85302-3843 | 2016-04-27 |
| 1366809790 | Hansen Behavioral Health A Psychological Corporation | Psychologist | 524 N Maryland Ave, Suite 1, Glendale, CA 91206-2266 | 2016-01-15 |
| 1326469461 | Alisa Angelone | Psychologist | 715 N Central Ave Ste 102, Glendale, CA 91203-1286 | 2013-12-16 |
| 1699020180 | Ziba Saatchian | Psychologist | 135 S Jackson St, Suite #204, Glendale, CA 91205-4916 | 2012-07-20 |
| 1003181967 | Daura M De Assis | Psychologist | 436 Palm Dr, # 6, Glendale, CA 91202-3215 | 2012-03-12 |
| 1134411655 | Bryan Choi | Psychologist | 710 S Central Ave Ste 300, Glendale, CA 91204-4614 | 2011-05-03 |
| 1194029298 | Mike Zussman | Psychologist | 5800 N Bayshore Dr Ste A250, Glendale, WI 53217-4543 | 2011-01-04 |
| Find all providers in GLENDALE | ||||
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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.