Barbara E Kelly PHD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY5762 Issued in FL

Legal business name

BARBARA E KELLY PHD LLC

Practice address

100 E Ventris Ave
Maitland, FL 32751-5626

Phone

(407) 951-8812

Fax

(407) 951-8869

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Barbara E. Kelly, PH.D.

Title

Manager

Phone

(407) 951-8812

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1457415333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E VENTRIS AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515626",
            "telephone_number": "407-951-8812",
            "fax_number": "407-951-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VENTRIS AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515626",
            "telephone_number": "407-951-8812",
            "fax_number": "407-951-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA E KELLY PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-951-8812",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somer Leigh Banjanin, LMHC
• Erica Denise Banks, MS/P
• Anabella Barajas, LMHC
• Maitlynn Barba
• Marina Barbagelata
• Alicia Barilla
• Glen Edward Barker, DC
• Heather Michelle Barkin, M.A.
• Shannon Barna
• Denise Margaret Barnard, MD

• Psychologist in Maitland, FL
• Providers in Maitland, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.