Organization Active NPI

Beth Kelly Autism & Associates

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1295099067
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BETH KELLY AUTISM & ASSOCIATES
Practice address
879 72ND St
Brooklyn, NY 11228-1051
Phone
(646) 287-7908
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Ms. Beth Kelly, B.A. SP ED
Title
Therapist
Phone
(646) 287-7908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

879 72ND St
Brooklyn, NY 11228-1051

Mailing address

879 72ND St
Brooklyn, NY 11228-1051
Phone (646) 287-7908

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1295099067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 72ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281051",
            "telephone_number": "646-287-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 72ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281051",
            "telephone_number": "646-287-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH KELLY AUTISM & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "646-287-7908",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A. SP ED"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.