KELLYS KIDS, INC (NPI# 1942723036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942723036 |
| Entity Type | Organization |
| Organization Name | KELLYS KIDS, INC |
| Practice Address |
9 Spring Rd Prospect CT 06712-1522 |
| Practice Telephone | 2032323546 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |
| Authorized Official Name | MRS. KELLY CRONIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2032323546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
9 SPRING RD |
| City | PROSPECT |
| State | CT |
| Zip Code | 06712-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679746440 | Debra Anne Hudobenko | Social Worker | 40 Union City Rd Ste 2b, Prospect, CT 06712 | 2008-04-11 |
| 1831230739 | Jeffrey Paul Dalessandro | Pharmacist | Ezpharm Pharmacy, 166 Waterbury Rd, Prospect, CT 06712 | 2007-02-12 |
| 1497817464 | Kenneth Robert Capozzi | Dentist | 2 Summit Rd, Prospect, CT 06712 | 2006-12-15 |
| 1821160961 | Jeremy August | Psychiatry & Neurology | 39a Waterbury Road, Prospect, CT 06712 | 2006-11-14 |
| 1831260850 | Thomas J Deluca | Optometrist | 67 Waterbury Rd, Prospect, CT 06712 | 2006-11-13 |
| 1578648606 | Renika N Mcleod-labissiere | Family Medicine | 115 Waterbury Road, Prospect, CT 06712 | 2006-10-26 |
| 1750461836 | Eye Care Associates | Optometrist | 67 Waterbury Road, Prospect, CT 06712 | 2006-10-16 |
| 1124123948 | Carmelita Viega Rifkin | Physical Therapist | 93 Waterbury Rd, Prospect, CT 06712 | 2006-09-14 |
| 1033167804 | Greater Waterbury Primary Care Assoc | Internal Medicine | 166 Waterbury Road, Ste 300, Prospect, CT 06712 | 2006-05-04 |
| 1730141730 | Amy Y Tso | Ophthalmology | 166 Waterbury Rd., Suite 201, Prospect, CT 06712 | 2006-04-05 |
| Find all providers in zip 06712 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780195339 | Rachel Collins, Lpc | Clinic/Center | 410 State St Rm 1, North Haven, CT 06473-3149 | 2017-10-22 |
| 1376054148 | Joann Flynn LLC. | Clinic/Center | 3 Swanswood Ln, Old Lyme, CT 06371-1867 | 2017-10-19 |
| 1295256840 | B.e.a.u.t.y, LLC | Clinic/Center | 824 Main St Ste F, Manchester, CT 06040-6048 | 2017-07-05 |
| 1518413442 | Community Partners In Action | Clinic/Center | 995 Sherman Ave, Hamden, CT 06514-1144 | 2016-08-31 |
| 1952760803 | Darbonshire, LLC | Clinic/Center | 304 Wahackme Rd, New Canaan, CT 06840-3936 | 2016-02-21 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1497025035 | Ct Clinical Services, Inc. | Clinic/Center | 189 Orange St, New Haven, CT 06510-2014 | 2012-01-12 |
| 1093950032 | Yale Parenting and Child Conduct Clinic | Clinic/Center | 314 Prospect St, New Haven, CT 06511-2187 | 2008-12-04 |
| 1710185731 | Waterford Country School, Inc. | Clinic/Center | 78 Hunts Brook Rd, Quaker Hill, CT 06375-1009 | 2007-07-11 |
| 1689887440 | The Bridge Family Center Inc | Clinic/Center | 1022 Farmington Ave, West Hartford, CT 06107 | 2007-05-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLYS KIDS, INC.
| 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.