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KELLY COLLABORATIVE CARE, INC
NPI 1124349998
Counselor - Professional in Dennis, MA

Active since June 16, 2010
616 ROUTE 6A, DENNIS, MA 02638(773) 487-7647 Get Directions Write a Review

NPPES record last updated: December 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Collaborative Care, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY COLLABORATIVE CARE, INC (NPI 1124349998) is a healthcare organization registered as a professional in Dennis, Massachusetts and active in the NPI registry since June 2010. The organization lists Mary Hettich-kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1124349998
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameKELLY COLLABORATIVE CARE, INC
Location Address616 ROUTE 6ADennis, MA 02638-1906
Mailing Address180 Old Red Top RdBrewster, MA 02631-2370 · (774) 487-7647
Phone(773) 487-7647
Organization SubpartNo
Authorized OfficialMary Hettich-kellyOwner · (774) 487-7647
Enumeration DateJune 16, 2010
Last NPPES UpdateDecember 13, 2010
✔ NPI 1124349998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MA · 197116
616 ROUTE 6A, Dennis, MA 02638
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Other Identifiers 1

Medicare OSCAR/certificationNP246002MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Collaborative Care, Inc's NPI number?

The NPI number for Kelly Collaborative Care, Inc is 1124349998. It was assigned to this organization in the NPPES registry on June 16, 2010.

Where is Kelly Collaborative Care, Inc located?

Kelly Collaborative Care, Inc is located at 616 Route 6A, Dennis, MA 02638. The listed phone number is (773) 487-7647.

What is Kelly Collaborative Care, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kelly Collaborative Care, Inc was last updated on December 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.