DR. MARY CAROLINE KELLEY NP
NPI 1700120540
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Q: What is Mary Kelley's NPI number?

The NPI number for Mary Kelley is 1700120540. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Q: What is Mary Kelley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Kelley was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 16, 2012

1097 PROSPECT PL APT 1B, BROOKLYN, NY 11213(628) 800-4217 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2026, Jul 27, 2022, Mar 31, 2017 (3 updates tracked since 2017).

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About Dr. Mary Caroline Kelley Np NPPES

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

DR. MARY CAROLINE KELLEY NP (NPI 1700120540) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (406358) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1700120540

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. MARY CAROLINE KELLEYCredential: NP

Location Address1097 PROSPECT PL APT 1BBrooklyn, NY 11213-2141

Mailing Address2061 King College RdBristol, TN 37620-2919 · (628) 800-4217

Phone(628) 800-4217

Sole ProprietorYes

Enumeration DateNovember 16, 2012

Last NPPES UpdateMay 13, 20263 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1700120540 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 · 406358

1097 PROSPECT PL APT 1B, Brooklyn, NY 11213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Mary Kelley's NPI number?

The NPI number for Mary Kelley is 1700120540. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Where is Mary Kelley located?

Mary Kelley practices at 1097 Prospect Pl Apt 1B, Brooklyn, NY 11213. The listed phone number is (628) 800-4217.

What is Mary Kelley's specialty?

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

What insurance does Mary Kelley accept?

Health plans from Providence Health Plan list Mary Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Kelley was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.