Active NPI
Lee Ann Kelley, M.D., P.C.
- Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1386821593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25986
- Legal business name
- LEE ANN KELLEY, M.D., P.C.
- Practice address
- 16601 N 40TH St
Suite 101
Phoenix, AZ 85032-3345 - Phone
- (602) 795-1834
- Fax
- (602) 795-2608
- NPI assigned
- Jan 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lee Ann Kelley, M.D.
- Title
- President
- Phone
- (602) 795-1834
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25986 | AZ | Primary |
Addresses
Primary practice location
16601 N 40TH St
Suite 101
Phoenix, AZ 85032-3345
Mailing address
16601 N 40TH St
Suite 101
Phoenix, AZ 85032-3345
Phone (602) 795-1834
National Provider Directory
National Provider DirectoryLocations
16601 N 40th St
Ste 101
Phoenix, AZ 85032
Phone (602) 441-3168
14358 N Frank Lloyd Wright Blvd
Scottsdale, AZ 85260
Phone (480) 251-8689
14358 N Frank Lloyd Wright Blvd
Ste 3
Scottsdale, AZ 85260
Phone (480) 477-5795
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": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463529600000",
"number": "1386821593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16601 N 40TH ST",
"address_2": "SUITE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323345",
"telephone_number": "602-795-1834",
"fax_number": "602-795-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16601 N 40TH ST",
"address_2": "SUITE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323345",
"telephone_number": "602-795-1834",
"fax_number": "602-795-2608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE ANN KELLEY, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2016-05-18",
"status": "A",
"authorized_official_last_name": "KELLEY",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-795-1834",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "25986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.