Brien Sharp Kelley, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018218 Issued in NY

Practice address

817 Broadway
10TH Floor
New York, NY 10003-4709

Phone

(347) 443-9643

NPI assigned

Nov 3, 2010

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

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": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1154621480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 W 12TH ST",
            "address_2": "APT. 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118651",
            "telephone_number": "347-443-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 BROADWAY",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034709",
            "telephone_number": "347-443-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "BRIEN",
        "middle_name": "SHARP",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Kellert, D.D.S
• Rohma Kellert, LMT
• Kelley Hershman Licensed Mental Health Counselor PLLC
• Amy Steves Kelley, M.D.
• Beth Marie Kelley, LCSW
• Charles Byron Kelley, COUNSELOR
• David Melvin Kelley, PH.D.
• Elissa Therese Kelley, MS CCC-SLP
• Erin Kathleen Kelley, LMSW
• Jane Elizabeth Kelley, M.S., SLP

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.