DR. DEANE M KELLEY (NPI# 1720117187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720117187 |
| Entity Type | Individual |
| Full Name | DR. DEANE M KELLEY |
| Credential | PH.D. |
| Practice Address |
8403 Willow St New Orleans LA 70118-1339 |
| Mailing Address |
837 Roosevelt Pl New Orleans LA 70119-3823 |
| Practice Telephone | 5043195476 |
| Practice Fax Number | 5043012190 |
| Mailing Telephone | 5043012190 |
| Mailing Fax Number | 5043012190 |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
883 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | CLINICAL PSYCHOLOGIST | 211040 | 01 |
| LA | 1124869 | 05 | |
| LA | CLINICAL PSYCHOLOGIST | G6251 | 01 |
| LA | CLINICAL PSYCHOLOGIST | 283194 | 01 |
| Street Address |
8403 WILLOW ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70118-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791831 | The Administrators of The Tulane Educational Fund | Clinic/Center | 200 Broadway Avenue, Suite 108, New Orleans, LA 70118 | 2020-08-19 |
| 1730674557 | Louisiana Department of Health, Department of Health and Hospitals | Skilled Nursing Facility | 612 Henry Clay Ave., New Orleans, LA 70118 | 2018-06-25 |
| 1588153167 | Kimberly Felicia Fields | Behavior Technician | 733 Dante St., New Orleans, LA 70118 | 2018-05-09 |
| 1275033029 | Antonia Jennice Hollins | Behavior Technician | 733 Dante, New Orleans, LA 70118 | 2018-02-19 |
| 1922521467 | Amy Mcdonald | Specialist/Technologist | 2950 Ben Weiner Dr., Tulane Univ., Athletic Training Rm, 1st Floor, New Orleans, LA 70118 | 2017-07-17 |
| 1760910848 | Tyler Tunnell | Specialist/Technologist | James Wilson Center, 333 Ben Weiner Drive, New Orleans, LA 70118 | 2017-06-01 |
| 1538692801 | Shneitha Beasley | Counselor | 2619 Leonidas St, New Orleans, LA 70118 | 2017-04-04 |
| 1467826966 | Ethan Alan Solger | Specialist/Technologist | 333 James W Wilson Jr Center, New Orleans, LA 70118 | 2015-11-20 |
| 1225402878 | Heather Ravner | Student in an Organized Health Care Education/Training Program | Ben Weiner Drive, James W. Wilson Jr. Center, New Orleans, LA 70118 | 2015-11-19 |
| 1558735142 | Albert Charles Lindon IIi | Specialist/Technologist | 333 Ben Weiner Dr, New Orleans, LA 70118 | 2015-11-19 |
| Find all providers in zip 70118 | ||||
| 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 |
| 1568812832 | Kelly Bolger | Psychologist | 3517 Camp St, 1/2, New Orleans, LA 70115-2535 | 2016-06-17 |
| 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 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70118 |
Please comment or provide details below to improve the information on DR. DEANE M KELLEY.
| 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.