David Melvin Kelley, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4740 Issued in NY

Practice address

124 E 84TH St
Suite 1D
New York, NY 10028-0915

Phone

(212) 744-2121

NPI assigned

May 10, 2007

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

Doctor of Philosophy

State licenses

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.

• Kenwood Psychological & Social Work Services, PLLC

  • Social Worker
  • New York, NY
  • NPI 1114131893
  NPD (past) Authorized official
• Kenwood Psychological Services, PC

  • Social Worker
  • New York, NY
  • NPI 1437365178
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780898544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 157TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545045",
            "telephone_number": "718-359-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 84TH ST",
            "address_2": "SUITE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280915",
            "telephone_number": "212-744-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DAVID",
        "middle_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "4740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Hershman Licensed Mental Health Counselor PLLC
• Amy Steves Kelley, M.D.
• Beth Marie Kelley, LCSW
• Brien Sharp Kelley, PH.D.
• Charles Byron Kelley, COUNSELOR
• Elissa Therese Kelley, MS CCC-SLP
• Erin Kathleen Kelley, LMSW
• Jane Elizabeth Kelley, M.S., SLP
• Kathleen Kelley, LMFT
• Kathryn Kelley, OTR/L

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical 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.