Brian J Kelly, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

020001 Issued in NY

Practice address

180 North Street
Auburn, NY 13021-1811

Phone

(315) 255-2285

NPI assigned

Jul 11, 2012

Last updated

Apr 18, 2013By the provider in NPPES

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  Medicare reassignment Care Compare group NPD
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776
  Medicare reassignment NPD
• Lenox Hill Pain Management and Spine PLLC

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1063865111
  Medicare reassignment NPD
• Northside Psychology PLLC

  • Psychologist
  • Brooklyn, NY
  • NPI 1477058998
  Medicare reassignment NPD
• Patient First Medical Practice PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1255067955
  Medicare reassignment NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  NY

  Medicare reassignment
• Karan Johar, MD, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1063836211
  NPD (past)
• Seneca Cayuga Counties Chapter Nysarc, Inc.

  dba Seneca Cayuga ARC

  • Voluntary or Charitable Agency
  • Auburn, NY
  • NPI 1104970557
  NPD (past)

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1235494774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NORTH STREET",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211811",
            "telephone_number": "315-255-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NORTH STREET",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211811",
            "telephone_number": "315-255-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "020001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian P Kelley
• Maxine Corrine Kelley, RN
• Sharon Jo Kellogg, LCSW
• Amy Beth Kelly, LCSW
• Brenda Kelly
• Judith Ellen Kennedy, LMSW
• Shelyagh Kennedy, RN,BSN,FPMHNP-BC
• Taylor Renae Kerr, RD, CDN
• Lisa M Kessel, N.P.
• Scott Elmer Kilmer, D.C.

• Counseling Psychologist in Auburn, NY
• Providers in Auburn, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.