Kelly Anne Constant Bhatnagar, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6891 Issued in OH

Practice address

3659 Green Rd Ste 102
Beachwood, OH 44122-5715

Phone

(216) 233-6404

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1154453231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 GREEN RD STE 102",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225715",
            "telephone_number": "216-233-6404",
            "fax_number": "216-765-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 GREEN RD STE 102",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225715",
            "telephone_number": "216-233-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25550 Chagrin Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225638",
            "country_code": "US",
            "telephone_number": "216-765-0500",
            "fax_number": "216-765-0521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATNAGAR",
        "first_name": "KELLY",
        "middle_name": "ANNE CONSTANT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3681",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Best Therapy LLC
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• Stanley Carlton Betts Jr., RN
• Shaul Beyth, M.D., PH.D.
• Michelle Marie Bezek, RPH
• Sue Biagianti, MSW
• Laura Anne Bianchini, PCC
• Kathy Biarsky, LPC
• Akwasiba Ferrell-Carter Bibbs
• Joanne Kathleen Bickerton

• Clinical Psychologist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.