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MICHAEL KELLY
NPI 1861209405
Counselor - Mental Health in Watertown, NY

Active since December 17, 2024
211 JB WISE PL, WATERTOWN, NY 13601(315) 782-7445 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Kelly NPPES

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

MICHAEL KELLY (NPI 1861209405) is an individual mental health provider in Watertown, New York and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1861209405
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL KELLY
Location Address211 JB WISE PLWatertown, NY 13601-2507
Mailing Address1704 State StWatertown, NY 13601-3102 · (315) 782-7445
Phone(315) 782-7445
Sole ProprietorNo
Enumeration DateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1861209405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
211 JB WISE PL, Watertown, NY 13601
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Other Providers at the Same Location NPPES 20

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

ABBIGAIL F CARROLL LPN
Licensed Practical Nurse
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
BRIONNA BALL
Art Therapist
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
JAMES GARRISON
Counselor (Mental Health)
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
RACHEL CHURCHILL
Counselor (Mental Health)
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
STEFANIE FERRELL
Counselor (Mental Health)
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
CASSANDRA FICHTHORN
Social Worker
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
DELANEY VANNEST
Social Worker (Clinical)
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
SHANA CLARK LPN
Licensed Practical Nurse
211 JB WISE PL
WATERTOWN, NY 13601
Jefferson County (315) 782-7445

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 Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1861209405. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Michael Kelly located?

Michael Kelly practices at 211 Jb Wise Pl, Watertown, NY 13601. The listed phone number is (315) 782-7445.

What is Michael 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 Michael Kelly was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.