Keely Marvin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

66 Washington Dr
Highland Mills, NY 10930-3030

Phone

(845) 928-2579

Fax

(845) 928-2729

NPI assigned

Jun 18, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sharon Jolly & Associates Audiology, Speech Language Pathology, Psycho

  • Early Intervention Provider Agency
  • Highland Mills, NY
  • NPI 1467767228
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1205199064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "109170368",
            "telephone_number": "845-928-2579",
            "fax_number": "845-928-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WASHINGTON DR",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109303030",
            "telephone_number": "845-928-2579",
            "fax_number": "845-928-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVIN",
        "first_name": "KEELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elwira Machado, NP
• Ruth Mahoney
• Jeffrey Marmor, DDS
• Robyn Marsden
• Noreen A Martinez, OTR/L
• Patricia Anne McDonnell-Megahey, BCBA
• Heather McKenna, OT
• Megan Melrose, OTR/L
• Antheya Mely
• Claudia Tejada Mendez

• Case Manager/Care Coordinator in Highland Mills, NY
• Providers in Highland Mills, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.