Calvin Andrew Kelly, PH.D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6592 Issued in NC

Practice address

37 Captains Dr
Candler, NC 28715-9211

Phone

(828) 231-5986

NPI assigned

Jun 24, 2008

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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.

• Dr. Calvin a. Kelly & Associates

  • Mental Health Counselor
  • Austin, TX
  • NPI 1114727690
  NPD

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1295996056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CAPTAINS DR",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159211",
            "telephone_number": "828-231-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CAPTAINS DR",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159211",
            "telephone_number": "828-231-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CALVIN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Owen Johnson, MD
• Julian Anthony Crowder, OD
• James Martin Kamp, PT
• Sylvia Venezia Kauffman, MD, MSPH
• Alice Victoria Kavalaskia, PT
• Chase Martin Kelly
• Mia Xiaoli Kelton
• Zack Kemp, PT
• Susan Klein, APRN, PMHNP
• Oksana Kolodich, CNA

• Mental Health Counselor in Candler, NC
• Providers in Candler, NC by specialty
• Mental Health Counselor in North Carolina

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