Active NPI
Laurie A Kelleher, DC
- Chiropractor
- Yorktown Heights, NY
National Provider Identifier
1902832140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010586
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010586 | NY | MD | Mental Health Counselor |
| X010586 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurie a. Kelleher, DC, PC | Chiropractor | Current | Accepting new patients |
| Soaring Eagle Physical Therapy PC | Current | 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.
-
- Chiropractor
- Yorktown Heights, NY
- NPI 1053583765
-
- Physical Therapist
- Yorktown Heights, NY
- NPI 1346285194
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.