DR. JENNIFER KELLY (NPI# 1750791257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750791257 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER KELLY |
| Credential | PSYD |
| Practice Address |
11 Brooklands Apt Gi Bronxville NY 10708-3512 |
| Practice Telephone | 6467758276 |
| Practice Fax Number | 6467758276 |
| Mailing Telephone | (646) 775-8276 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 021862 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1493 Cambridge Street, Cambridge Health Alliance, Cambridge, MA 02139 | 6176651183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216463 | Jennifer Kelly | Nurse Practitioner | 7595 Affirmed Ct, Lewis Center, OH 43035-9143 | 2020-05-17 |
| 1790322758 | Jennifer Lee Kelly | Home Health Aide | 4519 Stanbrook Dr, North Chesterfield, VA 23234-4021 | 2019-12-09 |
| 1396386744 | Jennifer Eileen Kelly | Specialist | 2354 Ocean Ave, Ronkonkoma, NY 11779-6578 | 2019-10-07 |
| 1659936813 | Jennifer Noel Kelly | Behavior Technician | 3287 N Mayfield Ave, San Bernardino, CA 92405-2627 | 2019-05-03 |
| 1851784284 | Jennifer Kelly | Occupational Therapy Assistant | 1215 Gainsboro Rd, Bala Cynwyd, PA 19004-2014 | 2015-03-10 |
| 1952706699 | Jennifer Kelly | Pharmacist | 1701 Welsh Rd Ste 5, Philadelphia, PA 19115-3172 | 2014-10-23 |
| 1851722995 | Jennifer L. Kelly | Speech-Language Pathologist | 555 Anthony Wayne Trail, Waterville, OH 43566 | 2013-11-27 |
| 1144598343 | Jennifer Elaine Kelly | Physician Assistant | 381 Park Avenue South, Suite 1020, New York, NY 10016 | 2011-12-02 |
| 1063789030 | Jennifer Zucal Kelly | Registered Nurse | 215 E 5th St, Emporium, PA 15834-1417 | 2011-11-18 |
| 1467738765 | Jennifer Marie Kelly | Occupational Therapist | 1656 State Highway 162, Sprakers, NY 12166-4600 | 2011-10-31 |
| Street Address |
11 BROOKLANDS APT GI |
| City | BRONXVILLE |
| State | NY |
| Zip Code | 10708-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558501 | Muriel A. White | Technician | 70 Barrington Road, Bronxville, NY 10708 | 2019-10-05 |
| 1447813878 | Parkway Medical Services | Physical Medicine & Rehabilitation | Parkway Medical Services PC, 77 Pondfield Road 2f4, Bronxville, NY 10708 | 2019-04-22 |
| 1962912196 | Danielle Meghan Pensa | Physician Assistant | New York Presbyterian, Lawrence Hospital, 55 Palmer Ave, Bronxville, NY 10708 | 2017-10-02 |
| 1013444702 | Lisa Beneventano | Social Worker | 462 Bronxville Rd, Bronxville, NY 10708 | 2017-05-12 |
| 1548663248 | Daniella Carlo | Registered Nurse | 81 Pondfield Rd., Bronxville, NY 10708 | 2014-10-08 |
| 1215378369 | Elan Luria Goldwaser | Family Medicine | 1 Pondfield Road, 1st Floor, Bronxville, NY 10708 | 2013-07-17 |
| 1487990107 | William Betancourt Jr. | Early Intervention Provider Agency | 790 Bronx River Rd., Unit A36, Bronxville, NY 10708 | 2012-12-28 |
| 1477821536 | Gloria Raimondi Lauber | Registered Nurse | 6 Brooklands, Gd D, Bronxville, NY 10708 | 2011-12-05 |
| 1487951570 | Gerard Francis Shine | Speech-Language Pathologist | 1 Georgia Avenue, Apt. 6a, Bronxville, NY 10708 | 2011-02-25 |
| 1053615799 | Ellen Regina Gomprecht | Internal Medicine | 125 Mildland Avenue, Bronxville, NY 10708 | 2011-01-10 |
| Find all providers in zip 10708 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497884837 | Constance Patrono | Psychologist | 151 Midland Ave, Bronxville, NY 10708-1808 | 2007-03-03 |
| 1578571105 | Jose M. Arcaya | Psychologist | 141 Parkway Rd, Suite 5, Bronxville, NY 10708-3616 | 2006-08-03 |
| 1982697249 | Peter Nelson | Psychologist | 34 Parkview Dr, Bronxville, NY 10708-4608 | 2005-08-23 |
| 1356711204 | Ines Esteves-wessman | Psychologist | 65 Pondfield Rd, Office # 12, Bronxville, NY 10708-3807 | 2015-10-05 |
| 1497807143 | Jennifer Naparstek Klein | Psychologist | 180 Pondfield Rd, Counseling Center, Bronxville, NY 10708-4811 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1952900177 | Sarah Slotkin | Psychologist | 997 Altamont Blvd, Altamont, NY 12009-6313 | 2020-10-19 |
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1447859830 | Casey Dowdell | Psychologist | 2201 Hempstead Tpke # 10, East Meadow, NY 11554-1859 | 2020-10-18 |
| 1578161063 | Amanda Robyn Schwartz | Psychologist | 11 Appleby Dr, Bedford, NY 10506-1340 | 2020-10-15 |
| 1912505967 | Tracy Lynn Clouthier | Psychologist | 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 | 2020-10-13 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1639786833 | Benjamin Malkin | Psychologist | 663 Golf Dr, Valley Stream, NY 11581-3547 | 2020-09-30 |
| 1043827678 | Paul Lichtenberg | Psychologist | 236 Tow Path Rd, Accord, NY 12404-5516 | 2020-09-28 |
| 1073129169 | Alyssa Van Der Merwe | Psychologist | 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | BRONXVILLE |
| Zip Code | 10708 |
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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.