STEPHANIE LYN KELLY


Address: 2258 Camino Ramon, San Ramon, CA 94583-1353
Phone: 9253998075

STEPHANIE LYN KELLY (NPI# 1780012484) 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) 1780012484
Entity Type Individual
Full Name STEPHANIE LYN KELLY
Practice Address 2258 Camino Ramon
San Ramon
CA 94583-1353
Mailing Address 4264 Mabel Ave
Castro Valley
CA 94546-3547
Practice Telephone 9253998075
Mailing Telephone 9253998075
Enumeration Date 2013-10-16
Last Update Date 2019-04-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist LMFT102784 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5820 Stoneridge Mall Rd Ste 219, Pleasanton, CA 945883200 9253998075

Other Providers STEPHANIE KELLY

NPI Name Taxonomy Address Enumeration
1740760420 Stephanie Kelly Counselor 1819 S Dobson Rd Ste 115, Mesa, AZ 85202-5656 2018-08-21
1982067195 Stephanie Marie Kelly Licensed Practical Nurse 5626 Bunbury Ter, Clay, NY 13041-6910 2016-04-04
1154766186 Stephanie Albers Kelly Technician 2685 Leeds Ave, North Charleston, SC 29405-6861 2013-05-03
1710117700 Stephanie Kelly Physical Therapist 11 Carnegie Ave, Street Line 2, Cold Spring Harbor, NY 11724-2016 2009-07-23
1619508017 Stephanie Ann Kelly Counselor 207 W Morgan St, Brandon, FL 33510-4429 2020-02-04
1497296362 Stephanie Lynn Kelly Nurse Practitioner 4475 S I 19 Frontage Rd Ste 139, Green Valley, AZ 85614-5884 2017-03-13
1528417912 Stephanie Beth Hampel Kelly Internal Medicine 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 2016-06-07
1578999322 Stephanie Lynn Kelly Physician Assistant 1300 Roanoke Ave, Riverhead, NY 11901-2031 2013-09-24
1487920849 Stephanie L Kelly Registered Nurse 6440 Nieman Rd, Shawnee, KS 66203-3326 2012-03-29
1447574595 Stephanie Kelly Psychologist 3145 W Pratt Blvd, Chicago, IL 60645-4125 2010-03-18

Office Location

Street Address 2258 CAMINO RAMON
City SAN RAMON
State CA
Zip Code 94583-1353

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861627747 Jennifer Lynn Marsh Social Worker 2258 Camino Ramon, San Ramon, CA 94583-1353 2009-05-21
1578910444 Grace Nichols Counselor 2258 Camino Ramon, San Ramon, CA 94583-1353 2016-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295375475 Angel Beatrice Mckneely Behavior Technician 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 2020-01-15
1205302247 Asma Parisa Rezaye Behavior Technician 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 2018-10-17
1679055461 Mary Martineau Speech-Language Pathologist 210 Porter Dr Ste 120, San Ramon, CA 94583 2018-08-29
1336631332 Alison Jean Barnes Behavior Technician Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 2018-06-05
1730671975 Michael Federico Pharmacist 2735 Ascot Drive, San Ramon, CA 94583 2018-06-04
1508384843 Donor Network West Organ Procurement Organization 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 2017-09-07
1265950141 Danielle Lustig Fitch Marriage & Family Therapist 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 2017-08-31
1386166205 Park Place Ambulatory Surgery Center Orthopaedic Surgery 100 Park Place, Suite 100, San Ramon, CA 94583 2017-07-12
1952822991 Virginia Rutledge Mosby Marriage & Family Therapist 3180 Crow Canyon Place #140, San Ramon, CA 94583 2017-06-29
1437684784 Nakhla Dental Group Dentist Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 2017-04-25
Find all providers in zip 94583

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437637139 Kathleen Brand Marriage & Family Therapist 18 Crow Canyon Ct Ste 260, San Ramon, CA 94583-1774 2018-08-03
1649776410 Linda Engelman Marriage & Family Therapist 2551 San Ramon Valley Blvd Ste 212, San Ramon, CA 94583-1662 2018-04-02
1265950141 Danielle Lustig Fitch Marriage & Family Therapist 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 2017-08-31
1952822991 Virginia Rutledge Mosby Marriage & Family Therapist 3180 Crow Canyon Place #140, San Ramon, CA 94583 2017-06-29
1003296641 Laura Melgosa Marriage & Family Therapist 9 Crow Canyon Ct, Suite 201, San Ramon, CA 94583-1972 2015-06-08
1336566678 Victoria Rutsch Marriage & Family Therapist 304 Pine Valley Court, San Ramon, CA 94583 2014-03-25
1013158971 Radhika Nilesh Bajaria Marriage & Family Therapist 2908 Sombrero Cir, San Ramon, CA 94583-2208 2009-03-23
1316107287 Lisa Lynne Bachmann Marriage & Family Therapist 9 Crow Canyon Ct Ste 100, San Ramon, CA 94583-1682 2008-06-13
1811155708 Jennifer Lynn Brown Marriage & Family Therapist 2 Crow Canyon Ct Ste 200, San Ramon, CA 94583-1681 2008-05-28
1649447319 Pamela Fenenbock Marriage & Family Therapist 107 Treasure Ct, San Ramon, CA 94583-1237 2008-05-13
Find all providers in SAN RAMON

Competitor

Search similar providers

City SAN RAMON
Zip Code 94583

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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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