Kelly Maria Doyle
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Haskell, NJ
NPI 1992568356 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1992568356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 26NJ14980400 (NJ)
- Practice address
- 1069 Ringwood Ave
Haskell, NJ 07420-1408 - Phone
- (201) 350-7225
- NPI assigned
- Jan 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14980400 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ14980400 | NJ | Yes |
Addresses
Primary practice location
1069 Ringwood Ave
Haskell, NJ 07420-1408
Mailing address
33 Larch Ave
Dumont, NJ 07628-1222
Phone (201) 674-5695
Other names
- Kelly Maria Gasnick
Other providers in Haskell, NJ
- Lawrence Dekoek
- Dizon Wellness Center LLC
- Marcelino Anthony Dizon
- DO Well Be Well of Haskell
- Melinda Donohue
- Eon Therapy Services LLC
- Edward Evanchick
- Danielle Nicoletta Falciglia
- Vanessa Fernandez
- Shannon Finn
All providers in Haskell, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.