Emily Kelly

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1900 The Alameda Ste 610
San Jose, CA 95126-1437

Phone

(408) 475-1665

NPI assigned

Feb 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Steps Therapy Inc

  • Early Intervention Provider Agency
  • San Francisco, CA
  • NPI 1003053026
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1679039945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 THE ALAMEDA STE 610",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261437",
            "telephone_number": "408-475-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 THE ALAMEDA STE 610",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261437",
            "telephone_number": "408-475-1665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Gough St Ste 210",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941035424",
            "country_code": "US",
            "telephone_number": "415-829-7323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940706217",
            "country_code": "US",
            "telephone_number": "650-591-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S. Kellogg, M.D., M.S.
• Kelly Kao Acupuncture &Wellness Center Professional Corporation
• Kelly Lao OD Apc
• Kelly Thanh DDS, Inc
• Patience Kelly-Wilson
• Jamaica Kelly, BEHAVIORAL TECH
• Marypat Kelly, GNP
• Meghan Anne Kelly, PA
• Nicole Lisa Kelly, M.S.
• Thomas Garvin Kelsey, MD

• Student in an Organized Health Care Education/Training Program in San Jose, CA
• Providers in San Jose, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.