Tim Kelly, LCSW, Psychotherapist, PA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW3573 Issued in FL

Legal business name

TIM KELLY, LCSW, PSYCHOTHERAPIST, PA

Practice address

3706 N Roosevelt Blvd
B
Key West, FL 33040-4566

Phone

(305) 294-1277

Fax

(305) 294-8927

NPI assigned

Nov 16, 2011

Last updated

Nov 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Matthias Kelly, LCSW

Title

President

Phone

(305) 872-3187

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James W Holbrook, ED.D.

  • Psychologist
  • Key West, FL
  • NPI 1952492167
  NPD (past)
• Andrew Louis Oconnor, PH.D.

  • Psychologist
  • Key West, FL
  • NPI 1467543652
  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1457628646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 N ROOSEVELT BLVD",
            "address_2": "B",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404566",
            "telephone_number": "305-294-1277",
            "fax_number": "305-294-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 N ROOSEVELT BLVD",
            "address_2": "B",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404566",
            "telephone_number": "305-294-1277",
            "fax_number": "305-294-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM KELLY, LCSW, PSYCHOTHERAPIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MATTHIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-872-3187",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW3573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas G Bouwkamp MD PA
• Joy Anna Thompson, MSW
• Lori Lynn Thompson, B.A.
• Dale B. Thress, RPH
• Orieon L Thurston, MS
• Norman R Tingle Jr., M.D.
• Matthew Samuel Tochtenhagen
• Brien Windus Tonkinson, MD
• David W. Towne, M.D.
• Transmbl LLC

• Community/Behavioral Health Agency in Key West, FL
• Providers in Key West, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.