Individual provider Active NPI

Laurie A Kelleher, DC

  • Chiropractor
  • Yorktown Heights, NY
National Provider Identifier
1902832140
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010586 Issued in NY
Practice address
342 Downing Dr
Yorktown Heights, NY 10598-4414
Phone
(914) 302-2190
Fax
(914) 302-2191
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010586 NY Primary

Addresses

Primary practice location

342 Downing Dr
Yorktown Heights, NY 10598-4414

Mailing address

342 Downing Dr
Yorktown Heights, NY 10598-4414
Phone (914) 302-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000041 NY Practitioner - Chiropractic 8921093352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2051 Baldwin Rd
Suite 101
Yorktown Heights, NY 10598-4047
Phone (914) 302-2190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010586NYMDMental Health Counselor
X010586NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie a. Kelleher, DC, PC Chiropractor CurrentSince May 1, 2008 Accepting new patients
Soaring Eagle Physical Therapy PC CurrentSince May 1, 2008 Accepting new patients

Locations

2051 Baldwin Rd
#101
Yorktown Hts, NY 10598
Phone 8007508616114

342 Downing Dr
Yorktown Hts, NY 10598
Phone (914) 302-2190

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902832140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 DOWNING DR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984414",
            "telephone_number": "914-302-2190",
            "fax_number": "914-302-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 DOWNING DR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984414",
            "telephone_number": "914-302-2190",
            "fax_number": "914-302-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "LAURIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.