MR. JAMES P KELLEHER III (NPI# 1700834850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700834850 |
| Entity Type | Individual |
| Full Name | MR. JAMES P KELLEHER III |
| Credential | MA, LMHC, LPC |
| Practice Address |
99 E. Virginia Ave Suite #170 Phoenix AZ 85004 |
| Mailing Address |
99 E. Virginia Ave Suite 170 Phoenix AZ 85004 |
| Practice Telephone | 6023219536 |
| Mailing Telephone | 6023219536 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-13096 | AZ | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
000247 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669738571 | James David Kelleher Jr. | Anesthesiology | 100 Port Washington Blvd, New York Cardiovascular Anesthesiologists, P.C., Roslyn, NY 11576-1347 | 2012-04-04 |
| 1124168893 | James Patrick Kelleher | Psychiatry & Neurology | 275 North St, Harrison, NY 10528-1524 | 2007-02-08 |
| 1699815100 | James A Kelleher | Physical Therapist | 70 Manheim Ave, Suite 3, Bridgeton, NJ 08302-2136 | 2007-02-07 |
| 1770552663 | James Kelleher | Family Medicine | 601 Fall Creek Hwy, Granbury, TX 76049-7960 | 2006-03-14 |
| Street Address |
99 E. VIRGINIA AVE SUITE #170 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942353446 | Claudia Jones | Counselor | 99 E. Virginia Ave, Suite 275, Phoenix, AZ 85004 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922615 | Gift of Hearts Home LLC | Counselor | 4547 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-11-02 |
| 1952901332 | Jennifer Barreras | Counselor | 1818 E Burgess Ln, Phoenix, AZ 85042-4518 | 2020-10-27 |
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1174135487 | Kelli Randon | Counselor | 14040 N Cave Creek Rd Ste 207, Phoenix, AZ 85022-6179 | 2020-08-18 |
| 1891307328 | Empire Health and Therapy LLC | Counselor | 1730 W Lacewood Pl, Phoenix, AZ 85045-0528 | 2020-08-17 |
| 1043821747 | Annette M Callahan | Counselor | 3229 E Briarwood Ter, Phoenix, AZ 85048-7843 | 2020-08-14 |
| 1528679032 | Apex Rising Community Services LLC | Counselor | 4150 W Peoria Ave Ste 220, Phoenix, AZ 85029-3956 | 2020-08-10 |
| 1780293654 | Mitsrain's House of Hope LLC | Counselor | 5744 N 41st Ave, Phoenix, AZ 85019-1814 | 2020-07-27 |
| 1740898378 | Samantha Cheyenne-dahl Moss | Counselor | 3519 E Shea Blvd Ste 138, Phoenix, AZ 85028-3349 | 2020-07-20 |
| 1083231856 | Amber Taylor | Counselor | 21640 N 19th Ave, Phoenix, AZ 85027-2720 | 2020-06-28 |
| Find all providers in PHOENIX | ||||
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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.