Kelly Michael Finn, MSW, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-10886 Issued in AZ

Practice address

5022 N 54TH Ave Ste 4
Glendale, AZ 85301-7531

Phone

(623) 931-4343

Fax

(623) 939-3476

NPI assigned

Mar 24, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valera Medical, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1437782349
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1083886642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 N 54TH AVE STE 4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017531",
            "telephone_number": "623-931-4343",
            "fax_number": "623-939-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 N 54TH AVE STE 4",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017531",
            "telephone_number": "623-931-4343",
            "fax_number": "623-939-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINN",
        "first_name": "KELLY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSW, LISAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER ID NUMB",
            "identifier": "600248032",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Fink Sierra, LISAC
• Edward P Fink, M.D.
• Larry Joseph Fink, DDS
• Lisa Lynn Fink, RDN
• Caroline J Finley, PA-C
• Robert E Fintelmann, MD
• Katherine Firedancing
• First Care Family Services LLC
• First Choice Family Health Center, PLLC
• First Image Prenatal Clinic

• Addiction (Substance Use Disorder) Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.