Harold Vincent Kelly M.D., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0006243 Issued in MD

Legal business name

HAROLD VINCENT KELLY M.D., P.A.

Practice address

4300 East-West Highway
Lower Level
Bethesda, MD 20814-4433

Phone

(301) 657-3992

Fax

(301) 657-5501

NPI assigned

Mar 29, 2012

Last updated

Mar 29, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Harold Vincent Kelly, M.D.

Title

Owner

Phone

(301) 657-3992

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1265708770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 EAST-WEST HIGHWAY",
            "address_2": "LOWER LEVEL",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144433",
            "telephone_number": "301-657-3992",
            "fax_number": "301-657-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 EAST-WEST HIGHWAY",
            "address_2": "LOWER LEVEL",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144433",
            "telephone_number": "301-657-3992",
            "fax_number": "301-657-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD VINCENT KELLY M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-657-3992",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0006243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.