STACY KELLY
NPI 1952769655
Student in an Organized Health Care Education/Training Program in Woodmere, NY

Active since February 09, 2016
321 WOODMERE BLVD, WOODMERE, NY 11598(516) 295-7302(516) 295-1180 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy Kelly NPPES

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

STACY KELLY (NPI 1952769655) is an individual student in an organized health care education/training program in Woodmere, New York, licensed in New York (1252) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1952769655
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTACY KELLY
Location Address321 WOODMERE BLVDWoodmere, NY 11598-2035
Mailing Address321 Woodmere BlvdWoodmere, NY 11598-2035 · (516) 295-7302
Fax(516) 295-1180
Sole ProprietorYes
Enumeration DateFebruary 9, 2016
NPI 1952769655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NY · 1252
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
321 WOODMERE BLVD, Woodmere, NY 11598

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.

Psychologist (School)
321 WOODMERE BLVD
WOODMERE, NY 11598
Occupational Therapist (Pediatrics)
321 WOODMERE BLVD
WOODMERE, NY 11598
Social Worker (Clinical)
321 WOODMERE BLVD
WOODMERE, NY 11598
Specialist
321 WOODMERE BLVD
WOODMERE, NY 11598
Specialist
321 WOODMERE BLVD
WOODMERE, NY 11598
Case Manager/Care Coordinator
321 WOODMERE BLVD
WOODMERE, NY 11598
Counselor (School)
321 WOODMERE BLVD
WOODMERE, NY 11598
Psychologist (School)
321 WOODMERE BLVD
WOODMERE, NY 11598

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 Stacy Kelly's NPI number?

The NPI number for Stacy Kelly is 1952769655. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Stacy Kelly located?

Stacy Kelly practices at 321 Woodmere Blvd, Woodmere, NY 11598. The listed phone number is (516) 295-7302.

What is Stacy Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Stacy Kelly was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.