DR. SAMUEL E KELLY
NPI 1669797171
Counselor - Mental Health in Oakland Park, FL

Active since March 29, 2010
2901 W OAKLAND PARK BLVD, STE A1, OAKLAND PARK, FL 33311(954) 202-9334(954) 202-7912 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samuel E Kelly NPPES

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

DR. SAMUEL E KELLY (NPI 1669797171) is an individual mental health provider in Oakland Park, Florida, licensed in Florida (MH3876) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1669797171
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. SAMUEL E KELLY
Location Address2901 W OAKLAND PARK BLVD, STE A1Oakland Park, FL 33311-1243
Mailing Address2901 W Oakland Park Blvd, Ste A1Oakland Park, FL 33311-1243 · (954) 202-9334 · Fax (954) 202-7912
Fax(954) 202-7912
Sole ProprietorYes
Enumeration DateMarch 29, 2010
Last NPPES UpdateDecember 7, 2016
NPI 1669797171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH3876
2901 W OAKLAND PARK BLVD, Oakland Park, FL 33311

Other Identifiers 2

Medicaid676033396FL
Medicaid676033398FL

Other Providers at the Same Location NPPES 13

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

Clinic/Center
2901 W OAKLAND PARK BLVD, SUITE B20
OAKLAND PARK, FL 33311
Physician Assistant
2901 W OAKLAND PARK BLVD, SUITE A4
OAKLAND PARK, FL 33311
Chiropractor
2901 W OAKLAND PARK BLVD, SUITE A23
OAKLAND PARK, FL 33311
Chiropractor
2901 W OAKLAND PARK BLVD, SUITE A-23
OAKLAND PARK, FL 33311
Counselor (Mental Health)
2901 W OAKLAND PARK BLVD, SUITE A-1
OAKLAND PARK, FL 33311
General Practice
2901 W OAKLAND PARK BLVD, A 4-5
OAKLAND PARK,, FL 33311
Marriage & Family Therapist
2901 W OAKLAND PARK BLVD, A-1
OAKLAND PARK, FL 33311
Community/Behavioral Health
2901 W OAKLAND PARK BLVD, #A1
OAKLAND PARK, FL 33311

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 Samuel Kelly's NPI number?

The NPI number for Samuel Kelly is 1669797171. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Where is Samuel Kelly located?

Samuel Kelly practices at 2901 W Oakland Park Blvd Ste A1, Oakland Park, FL 33311. The listed phone number is (954) 202-9334.

What is Samuel Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samuel Kelly was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.