Jane Albertson Kelly, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

100123 Issued in NY

Practice address

811 West Jericho Turnpike
Suite 106E
Smithtown, NY 11787

Phone

(631) 265-9850

Fax

(631) 265-9852

NPI assigned

Jul 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jane Albertson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699972620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 VALLEYWOOD CT W",
            "city": "ST JAMES",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-862-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WEST JERICHO TURNPIKE",
            "address_2": "SUITE 106E",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-265-9850",
            "fax_number": "631-265-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTSON KELLY",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "100123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "ALBERTSON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana Z Akberzie, MD
• Amna Akram
• Alan L Spielberg MD PC
• Amanda Dawn Albanese, M.S
• Lindsay Albanese
• Michelle Marie Alcalde, R.N.
• Rosenie Alce
• Karen Ann Aldrich, LMHC
• Vincent Gerard Alestra, AGPCNP, RN
• Alex a. Rothfeld MD PC

• Psychologist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.