KELLYANNE BRADY LMHC
NPI 1780158485
Counselor - Mental Health in Massapequa Park, NY

Q: What is Kellyanne Brady's NPI number?

The NPI number for Kellyanne Brady is 1780158485. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Q: What is Kellyanne Brady's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellyanne Brady was last updated on September 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 15, 2019

425 2ND AVE, MASSAPEQUA PARK, NY 11762(718) 406-3656 Get Directions Write a Review

NPPES record last updated: September 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2019, Aug 15, 2019, Jan 15, 2019 (3 updates tracked since 2019).

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About Kellyanne Brady Lmhc NPPES

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

KELLYANNE BRADY LMHC (NPI 1780158485) is an individual mental health provider in Massapequa Park, New York, licensed in New York (006630) and active in the NPI registry since January 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780158485

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLYANNE BRADYCredential: LMHC

Location Address425 2ND AVEMassapequa Park, NY 11762-1500

Mailing Address425 2nd AveMassapequa Park, NY 11762-1500 · (718) 406-3656

Phone(718) 406-3656

Sole ProprietorYes

Enumeration DateJanuary 15, 2019

Last NPPES UpdateSeptember 29, 20193 updates tracked since enumeration

✔ NPI 1780158485 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 NY · 006630

425 2ND AVE, Massapequa Park, NY 11762

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Secondary Practice Locations 2

Location 1425 2nd AveMassapequa Park, NY 11762-1500 · Phone (718) 406-3656

Location 230 Hempstead Ave Ste 248Rockville Centre, NY 11570-4034 · Phone (516) 323-3854

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 Kellyanne Brady's NPI number?

The NPI number for Kellyanne Brady is 1780158485. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Kellyanne Brady located?

Kellyanne Brady practices at 425 2nd Ave, Massapequa Park, NY 11762. The listed phone number is (718) 406-3656.

What is Kellyanne Brady'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 Kellyanne Brady was last updated on September 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.