SAMANTHA JEAN KELLY PMHNP
NPI 1336021211
Nurse Practitioner - Psychiatric/Mental Health in Schenectady, NY

Active since July 22, 2025
430 FRANKLIN ST STE 2304, SCHENECTADY, NY 12305(518) 788-7983(866) 616-2109 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samantha Jean Kelly Pmhnp NPPES

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

SAMANTHA JEAN KELLY PMHNP (NPI 1336021211) is an individual psychiatric/mental health provider in Schenectady, New York, licensed in New York (407293) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1336021211
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA JEAN KELLYCredential: PMHNP
Location Address430 FRANKLIN ST STE 2304Schenectady, NY 12305-2018
Mailing Address430 Franklin St Ste 2304Schenectady, NY 12305-2018 · (518) 788-7983 · Fax (866) 616-2109
Fax(866) 616-2109
Sole ProprietorNo
Enumeration DateJuly 22, 2025
NPPES CertifiedJuly 9, 2025
NPI 1336021211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 407293
430 FRANKLIN ST STE 2304, Schenectady, NY 12305

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
430 FRANKLIN ST STE 2304
SCHENECTADY, NY 12305
Nurse Practitioner (Psychiatric/Mental Health)
430 FRANKLIN ST STE 2304
SCHENECTADY, NY 12305

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 Samantha Kelly's NPI number?

The NPI number for Samantha Kelly is 1336021211. It was assigned to this individual provider in the NPPES registry on July 22, 2025.

Where is Samantha Kelly located?

Samantha Kelly practices at 430 Franklin St Ste 2304, Schenectady, NY 12305. The listed phone number is (518) 788-7983.

What is Samantha Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Samantha Kelly was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.