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SUSAN ELIZABETH KELLY
NPI 1235310061
Specialist in Modesto, CA

Active since November 20, 2007
1601 YOSEMITE BLVD, SUITE A, MODESTO, CA 95354(209) 341-1824(209) 523-1296 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Elizabeth Kelly NPPES

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

SUSAN ELIZABETH KELLY (NPI 1235310061) is an individual specialist in Modesto, California and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1235310061
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSUSAN ELIZABETH KELLY
Location Address1601 YOSEMITE BLVD, SUITE AModesto, CA 95354-2800
Mailing Address3709 Bridgeford Ln, Apt. #71Modesto, CA 95356-1658 · (209) 521-5322
Phone(209) 341-1824
Fax(209) 523-1296
Sole ProprietorNo
Enumeration DateNovember 20, 2007
✔ NPI 1235310061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1601 YOSEMITE BLVD, Modesto, CA 95354
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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

CALLIE C GRAHAM
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
JAMES RILEY ASW
Social Worker (Clinical)
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
GABRIELLA CORTES
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
RAYMOND G FORNEY IV
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
LINDA SANDERS LCSW
Social Worker (Clinical)
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
YVONNE GARZA
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
JOHN BLACK VIII
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
DONNA MARIE WAGNER
Marriage & Family Therapist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
SHANNON JEAN JENKINS RN
Registered Nurse
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
ARTURO C FLORES
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
MS. DIANE CRAYTON FNP
Nurse Practitioner (Family)
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
RAEME EVELYN BOSQUEZ
Counselor
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
GARY W PITCHLYNN
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
JULIE DENISE COLLINS LPT
Counselor
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
CYNTHIA JOSEPHINE FAVELA
Specialist
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
GABRIELA FARIAS
Counselor (Mental Health)
1601 YOSEMITE BLVD, A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
SHAREE GRAY
Counselor (Mental Health)
1601 YOSEMITE BLVD, A
MODESTO, CA 95354
Stanislaus County (209) 341-1824
ROBI-ANN DOYLE
Social Worker
1601 YOSEMITE BLVD, SUITE B
MODESTO, CA 95354
Stanislaus County (209) 341-1824
KEVEN DOBBIN
Case Manager/Care Coordinator
1601 YOSEMITE BLVD, SUITE A
MODESTO, CA 95354
Stanislaus County (209) 341-1824

Frequently Asked Questions

What is Susan Kelly's NPI number?

The NPI number assigned to this healthcare provider is 1235310061, enumerated as an "individual" on November 20, 2007.

Where is the provider located?

The provider is located at 1601 YOSEMITE BLVD SUITE A MODESTO, CA 95354 and the phone number is (209) 341-1824.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.