KATHLEEN A KELLY


Address: 5887 Brockton Ave, Suite A, Riverside, CA 92506-1858
Phone: 9512758500

KATHLEEN A KELLY (NPI# 1689858417) 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) 1689858417
Entity Type Individual
Full Name KATHLEEN A KELLY
Credential LCSW
Practice Address 5887 Brockton Ave
Suite A
Riverside
CA 92506-1858
Practice Telephone 9512758500
Practice Fax Number 9512758560
Mailing Telephone 9512758500
Mailing Fax Number 9512758560
Enumeration Date 2007-12-28
Last Update Date 2007-12-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LCS10316 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA TAX IDENTIFICATION 95-3551936 01

Other Providers KATHLEEN KELLY

NPI Name Taxonomy Address Enumeration
1295335511 Kathleen Kelly Social Worker 1672 S Ocean Ln Apt 155, Fort Lauderdale, FL 33316-3341 2020-10-27
1699226415 Kathleen Ann Kelly Clinical Medical Laboratory David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 2016-10-17
1033510359 Kathleen P Kelly Licensed Practical Nurse 25 Rogers Pl, Hyde Park, NY 12538-1112 2014-09-05
1730522418 Kathleen Kelly Registered Nurse 319 Middlesex Rd, Buffalo, NY 14216-3140 2013-04-11
1528328432 Kathleen Marie Kelly Behavioral Analyst 1031 S Crescent Heights Blvd, Los Angeles, CA 90035-2632 2012-05-24
1013241512 Kathleen Marie Kelly Psychologist #1670 Calle Georgina Volga, Urb. Reparto De Diego, San Juan, PR 00926-9998 2009-09-30
1174739882 Kathleen Petrie Kelly Physical Therapist 4 Kildare Walk, Rockaway Point, NY 11697-1708 2007-05-16
1073664710 Kathleen Lorraine Kelly Counselor 1070 W. Horizon Ridge Pkwy., Suite 200, Henderson, NV 89012-6019 2007-01-16
1811062839 Kathleen Kelly Nurse Practitioner 55 Fruit Street Yaw 4b, Boston, MA 02114-2696 2006-11-22
1467455147 Kathleen A Kelly Dentist 44 E Mifflin St, Ste 204, Madison, WI 53703-2895 2005-05-24

Office Location

Street Address 5887 BROCKTON AVE
SUITE A
City RIVERSIDE
State CA
Zip Code 92506-1858

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164526232 Kathryn Virginia Mantz Psychologist 5887 Brockton Ave, Riverside Psychiatric Medical Group Ste A, Riverside, CA 92506 2006-09-11
1184270381 Jessica Nicole Rodello Nurse Practitioner 5887 Brockton Ave, Riverside, CA 92506-1853 2019-08-13
1821569765 Christianne Zah-weber Nurse Practitioner 5887 Brockton Ave, Riverside, CA 92506-1853 2018-12-17
1568852473 Ucr Health Psychiatry - Brockton Clinic/Center 5887 Brockton Ave, Suite A, Riverside, CA 92506-1853 2015-01-29
1336566348 Scott Veltre Clinical Nurse Specialist 5887 Brockton Ave, Suite A, Riverside, CA 92506-1853 2014-03-27
1952558041 Enn Magi Psychiatry & Neurology 5887 Brockton Ave, Riverside, CA 92506-1858 2008-08-20
1649346941 Xiaoying Cui Psychiatry & Neurology 5887 Brockton Ave, Suite A Riverside Psychiatric Medical Group, Riverside, CA 92506 2006-11-28
1497837686 Carol J. Appleton Physical Therapist 5887 Brockton Ave, Suite B, Riverside, CA 92506-1858 2006-10-19
1811085160 Robert Brooke Summerour Psychiatry & Neurology 5887 Brockton Ave, Suite A Riverside Psychiatric Medical Group, Riverside, CA 92506 2006-10-11
1972691228 Riverside Psychiatric Medical Group Clinic/Center 5887 Brockton Ave, Ste A Riverside Psychiatric Medical Group, Riverside, CA 92506 2006-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902405715 Riverside Primary Care Clinic, Joanna Ayala Md Clinic/Center 3978 Merrill Ave, Riverside, CA 92506 2020-10-22
1336747005 Beatriz Arredondo Behavioral Analyst 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 2020-10-14
1740756782 Priscilla Marie Rodriguez Social Worker 3742 Tibbets St Suite 201, Riverside, CA 92506 2018-10-17
1922593946 Prevail Health Solutions, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 7450 Chateau Ridge Ln, Riverside, CA 92506 2018-06-22
1831691880 Mckinley Children's Center Community/Behavioral Health 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 2018-03-06
1720590946 Leticia Dilworth Behavioral Analyst 3610 Central Ave Ste 46, Riverside, CA 92506 2017-10-27
1548771736 Usa Biosciences LLC Clinical Medical Laboratory 5750 Division St Ste 109, Riverside, CA 92506 2017-10-16
1922542273 Yazmar Sevilla-perez Physical Therapist 6852 Brockton Ave., Suite 212, Riverside, CA 92506 2016-12-06
1821547605 Pathway To Healing, Marriage and Family Therapy, Inc. Marriage & Family Therapist 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 2016-09-22
1952857542 Kramer and Nguyen Dental Corporation Dentist 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 2016-09-01
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205448917 Rachel Nielson Counselor 1450 Spruce St, Suite A, Riverside, CA 92507 2020-08-24
1023638541 Sarah Davidson-amici Counselor 2167 Buckskin Pl, Riverside, CA 92506-4608 2020-04-24
1790311470 Melanie S David Counselor 11498 Pierce St Ste A&b, Riverside, CA 92505-3357 2020-03-13
1548890155 Taylor Jean Robitzer I Counselor 16435 Trisha Way, Riverside, CA 92504-5731 2020-01-23
1043854714 Marie Apke Counselor 493 Uvedale Rd, Riverside, IL 60546-1608 2019-11-05
1851934954 Community Access Network Counselor 16542 Tava Ln, Riverside, CA 92504-5833 2019-10-21
1124661236 Community Access Network Counselor 10631 Orchard View Ln, Riverside, CA 92503-6605 2019-10-21
1518519503 Erica Elissa Sierra Counselor 2085 Rustin Ave Ofc 2157, Riverside, CA 92507-2498 2019-07-10
1508344714 Patricia Marraine Redondo Counselor 1625 14th St, Riverside, CA 92503 2018-07-31
1518445725 Ryan Gregory Galippo Counselor 1625 14th Street, Riverside, CA 92513-7549 2018-07-31
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Competitor

Search similar providers

City RIVERSIDE
Zip Code 92506

Improve Information

Please comment or provide details below to improve the information on KATHLEEN A KELLY.

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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