Kelly Scala, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001044 Issued in MI

Practice address

19501 Outer Dr
Dearborn, MI 48124-1600

Phone

(248) 756-1343

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Behen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1093367906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23261 CLEVELAND ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242551",
            "telephone_number": "248-756-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19501 OUTER DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241600",
            "telephone_number": "248-756-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALA",
        "first_name": "KELLY",
        "credential": "AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BEHEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hassan M Sayed, PEER RECOVERY COACH
• Nessrin Moufid Sayed, LPC
• Zeinab Sayed
• Ayoub Sayeg, MD
• Bilal Sayyid, RPH
• Susan J Scalisi, CRNA
• Kristyn Schaar
• Schaefer Medical Center Dearborn PLC
• Schaefer Medical Group P.C.
• Schaefer Medical Pharmacy Inc

• Athletic Trainer in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.