Kelly Lynn Bassett, LP, M.ED

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

000913 Issued in NY

Practice address

1 Sheppard Rd
Suite 704
Voorhees, NJ 08043-4608

Phone

(646) 510-1593

NPI assigned

Jul 31, 2009

Last updated

Nov 17, 2015By the provider in NPPES

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

Master of Education

State licenses

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1518198076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHEPPARD RD",
            "address_2": "SUITE 704",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434608",
            "telephone_number": "646-510-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHEPPARD RD",
            "address_2": "SUITE 704",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434608",
            "telephone_number": "646-510-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LP, M.ED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Barrett
• Robert John Barrucco Jr., D.O.
• Meghan Barth, PA-C
• Lynda Bascelli, M.D
• Daniel Steven Bash, MS, OTRL, CHT
• Ryan Joseph Bateman
• Mark Baum, MD
• Leanne Bauman, MA, CCC-SLP
• Angela Baxter, MMFT
• Samantha Lynn Baxter, RN, MSN

• Psychoanalyst in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Psychoanalyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.