MR. TIMOTHY JOSEPH KELLY CASAC-T , B.S, CDC
NPI 1609599653
Counselor - Addiction (Substance Use Disorder) in Poughkeepsie, NY

Active since September 23, 2022
41 PAGE PARK DR STE 7, POUGHKEEPSIE, NY 12603(845) 486-2950 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2022, Oct 11, 2022, Sep 23, 2022 (3 updates tracked since 2022).

About Mr. Timothy Joseph Kelly Casac-t , B.s, Cdc NPPES

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

MR. TIMOTHY JOSEPH KELLY CASAC-T , B.S, CDC (NPI 1609599653) is an individual addiction (substance use disorder) provider in Poughkeepsie, New York, licensed in New York (34319) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1609599653
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. TIMOTHY JOSEPH KELLYCredential: CASAC-T , B.S, CDC
Location Address41 PAGE PARK DR STE 7Poughkeepsie, NY 12603-7501
Mailing Address41 Page Park Dr Ste 7Poughkeepsie, NY 12603-7501 · (845) 486-2950 · Fax (845) 486-2999
Sole ProprietorNo
Enumeration DateSeptember 23, 2022
Last NPPES UpdateOctober 19, 20223 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
NPI 1609599653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NY · 34319
41 PAGE PARK DR STE 7, Poughkeepsie, NY 12603

Other Providers at the Same Location NPPES 3

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

Counselor (Addiction (Substance Use Disorder))
41 PAGE PARK DR STE 7
POUGHKEEPSIE, NY 12603
Social Worker
41 PAGE PARK DR STE 7
POUGHKEEPSIE, NY 12603
Counselor (Addiction (Substance Use Disorder))
41 PAGE PARK DR STE 7
POUGHKEEPSIE, NY 12603

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 Timothy Kelly's NPI number?

The NPI number for Timothy Kelly is 1609599653. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Timothy Kelly located?

Timothy Kelly practices at 41 Page Park Dr Ste 7, Poughkeepsie, NY 12603. The listed phone number is (845) 486-2950.

What is Timothy Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Timothy Kelly was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.