Organization Active NPI

Lee Ann Kelley, M.D., P.C.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1386821593
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25986 Issued in AZ
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

Updated by the provider on May 18, 2016

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.