DR. EDWARD J KELTY (NPI# 1841336567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841336567 |
| Entity Type | Individual |
| Full Name | DR. EDWARD J KELTY |
| Credential | PH.D. |
| Practice Address |
7830 Old Georgetown Rd Suite C-15 Bethesda MD 20814-2432 |
| Mailing Address |
6709 Selkirk Dr Bethesda MD 20817-4937 |
| Practice Telephone | 3016560220 |
| Mailing Telephone | 3012295639 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
03201 | MD | Behavioral Health & Social Service Providers |
| Street Address |
7830 OLD GEORGETOWN RD SUITE C-15 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173816 | Sue Zhang Sabol | Acupuncturist | 7830 Old Georgetown Rd, Bethesda, MD 20814-2444 | 2005-09-06 |
| 1003172982 | Lodestone Pediatrics LLC | Pediatrics | 7830 Old Georgetown Rd, Suite C-15, Bethesda, MD 20814-2432 | 2012-04-05 |
| 1043528243 | Washington Musculoskeletal Tumor Center | Orthopaedic Surgery | 7830 Old Georgetown Rd, Suite C 15, Bethesda, MD 20814-2432 | 2010-09-22 |
| 1750619805 | Buskirk Physical Therapy Inc | Physical Therapist | 7830 Old Georgetown Rd, Suite C15, Bethesda, MD 20814-2432 | 2009-12-01 |
| 1306172275 | Andrea Eleni Liacouras | Audiologist | 7830 Old Georgetown Rd, Suite C15, Bethesda, MD 20814-2432 | 2009-10-27 |
| 1245437318 | Bethesda Physiocare | Physical Therapist | 7830 Old Georgetown Rd, Suite C15, Bethesda, MD 20814-2432 | 2007-07-01 |
| 1821218660 | Pain and Rehabilitation Medicine | Specialist | 7830 Old Georgetown Rd, Suite C15, Bethesda, MD 20814-2432 | 2007-04-26 |
| 1942345129 | Marwan Khayat | Physical Therapist | 7830 Old Georgetown Rd, Suite C15, Bethesda, MD 20814-2432 | 2007-02-21 |
| 1841335007 | Jan Dommerholt | Physical Therapist | 7830 Old Georgetown Rd, Suite C-15, Bethesda, MD 20814-2432 | 2007-02-21 |
| 1467596775 | Steven Ralph Shannon | Physical Medicine & Rehabilitation | 7830 Old Georgetown Rd, Suite C-15, Bethesda, MD 20814-2432 | 2007-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295348803 | Kathryn Steinman | Psychologist | 7988 Old Georgetown Rd Ste 8-a, Bethesda, MD 20814-2439 | 2020-08-25 |
| 1851935589 | Elissa Stieglitz | Psychologist | 4915 Elm St, Bethesda, MD 20814-2905 | 2019-11-06 |
| 1588205181 | The Dbt Group, LLC | Psychologist | 7986 Old Georgetown Rd Ste C, Bethesda, MD 20814-2458 | 2019-10-04 |
| 1891264313 | Maxwell Anderson Brooks | Psychologist | 7801 Norfolk Ave Ste 102, Bethesda, MD 20814-6059 | 2018-11-14 |
| 1326599762 | Jessica Jankowski Nysenbaum | Psychologist | 6931 Arlington Rd Ste 309, Bethesda, MD 20814-5285 | 2016-10-20 |
| 1366990129 | Casey Perisin | Psychologist | 7960 Old Georgetown Rd Ste 10b, Bethesda, MD 20814-2445 | 2016-09-21 |
| 1982050282 | Fernanda Bianchi | Psychologist | 4405 E West Hwy Ste 410, Bethesda, MD 20814-4535 | 2016-05-05 |
| 1982016374 | Melanie P Ricaurte | Psychologist | 4905 Del Ray Ave Ste 403, Bethesda, MD 20814-2557 | 2014-05-20 |
| 1356784425 | Michael Feuerstein | Psychologist | 7331 Bannockburn Ridge Ct, Bethesda, MD 20817-5618 | 2013-04-09 |
| 1114267952 | Nancy R Goodman | Psychologist | 6917 Arlington Rd Ste 220, Bethesda, MD 20814-5212 | 2013-02-14 |
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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.