Silas W. Kelly, LMSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

095659 Issued in NY

Practice address

161 E Main St
Smithtown, NY 11787-2879

Phone

(631) 360-7578

Fax

(631) 360-7687

NPI assigned

Jun 8, 2016

Sex

Male

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

• Mr. Silas W. Kelly Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1881043958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872879",
            "telephone_number": "631-360-7578",
            "fax_number": "631-360-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872879",
            "telephone_number": "631-360-7578",
            "fax_number": "631-360-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SILAS",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "095659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SILAS",
            "last_name": "KELLY",
            "middle_name": "W.",
            "prefix": "MR.",
            "credential": "LMSW, CMHT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carder Kelly, PT
• Dorothy Jane Kelly, LCSW
• John Peter Kelly, PH.D.
• Matthew Kelly, DPT
• Melinda Kelly, LPN
• Katelyn Elizabeth Kenah, MA
• Patricia A Kennedy Hingerton, DDS
• Amy Kennedy, PT
• Courtney Kennedy, DO
• David B Kennedy, PA

• Addiction (Substance Use Disorder) Counselor in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.