Patricia O. Kelley, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401154 Issued in NY

Practice address

756 Madison Ave
Albany, NY 12208-3823

Phone

(518) 449-2514

Fax

(518) 449-2470

NPI assigned

Jul 19, 2008

Last updated

Nov 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Madison NP Psychiatry, PLLC

  • Nurse Practitioner
  • Albany, NY
  • NPI 1487034856
  Authorized official Same address or phone

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

{
    "created_epoch": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1932364916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BURHANS PL",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541201",
            "telephone_number": "518-449-2514",
            "fax_number": "518-449-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083823",
            "telephone_number": "518-449-2514",
            "fax_number": "518-449-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "PATRICIA",
        "middle_name": "O.",
        "name_prefix": "Ms.",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-19",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03012700",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy G Kelleher, CRNA
• Jennifer Schneible Keller
• Kimberly Lynn Keller
• Hannah Mae Kelley, MD
• Kevin L Kelley, DO
• Tenequa K Kelley
• Dara Kelly
• Joseph A Kelly, MD
• Katherine E Kelly, PSY.D
• Kevin G Kelly, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Albany, NY
• Providers in Albany, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.