Kelly Psychiatric Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KELLY PSYCHIATRIC SERVICES, LLC

Practice address

185 Whitesport Dr SW Ste 5
Huntsville, AL 35801-6487

Phone

(256) 880-3500

Fax

(256) 880-9203

NPI assigned

Dec 16, 2024

Last updated

Dec 16, 2024By 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

Lauren Digesu Kelly, CRNP, PMHNP-BCNPI 1881300887

Title

Owner

Phone

(256) 880-3500

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Lauren Kelly, CRNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Huntsville, AL
  • NPI 1881300887
  NPD Authorized official

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1801603634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 BONNIE OAKS DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358033530",
            "telephone_number": "256-652-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW STE 5",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016487",
            "telephone_number": "256-880-3500",
            "fax_number": "256-880-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-14",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "DIGESU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-880-3500",
        "authorized_official_credential": "CRNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy J Keller, LCSW, PIP
• Jaron Kelley, DPT
• Whitley Vera Kelley, MS, CGC
• Kelley's Optical
• Lauren Ashley Kellum
• Kelly S Fisher LLC
• Carmalita Kelly, CRNP
• Frank J. Kelly II, MD
• James Tracy Kelly, OTR
• Jason Lee Kelly, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.