David J. Kelley, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

014048-1 Issued in NY

Practice address

632 Plank Rd
Suite 209
Clifton Park, NY 12065

Phone

(518) 689-1399

NPI assigned

Sep 16, 2006

Last updated

May 31, 2012By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Madison NP Psychiatry, PLLC

  • Nurse Practitioner
  • Albany, NY
  • NPI 1487034856
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1184720088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083823",
            "telephone_number": "518-689-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 PLANK RD",
            "address_2": "SUITE 209",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-689-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014048-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kawola-McAdam Audiology (Center for Clear Hearing)
• Kate Kawola-McAdam, AU.D.
• Valerie Keefer, LMHC
• Ruth Ellen Kelleher, N.P.
• Amanda Leigh Keller, LCSW-R
• Mikayla Nicole Kelley, PT, DPT
• Lisa Kelly, MACCCSLP
• Matthew Kyran Kelly
• Rachel Kelly
• Jennifer J Kenney, CCC-SLP

• Psychologist in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.