Caitlin Nora Kelly, LCAT

Primary specialty

Dance TherapistTaxonomy code 225600000X

License

002447-01 Issued in NY

Practice address

1339 York Ave
New York, NY 10021-4707

Phone

(212) 628-2800

NPI assigned

Mar 20, 2020

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

State licenses

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1235765397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CATSKILL AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041919",
            "telephone_number": "914-262-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214707",
            "telephone_number": "212-628-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CAITLIN",
        "middle_name": "NORA",
        "credential": "LCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "NY",
            "license": "002447-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anton George Kelly, M.D.
• Ayanna Kelly, MHC
• Bee May Kelly
• Bryan T Kelly, MD
• Caitlin Kelly, LMHC
• Caroline Kelly
• Caroline Elizabeth Kelly, DO
• Christine Mary Kelly
• Christopher Kelly, M.D.
• Ciara Marie Kelly, MB BCH BAO

• Dance Therapist in New York, NY
• Providers in New York, NY by specialty
• Dance Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.