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KELLY T CLOUSE MD, NPI 1932104288

Psychiatry & Neurology in ORANGE PARK, FL

Last Updated on : Jan 21,2022

KELLY T CLOUSE MD, NPI 1932104288

About KELLY T CLOUSE (NPI 1932104288)


KELLY T CLOUSE is a Psychiatry & Neurology provider in ORANGE PARK, United States. His medical specialization is Psychiatry & Neurology with a focus in Psychiatry.

1932104288 is NPI number of KELLY T CLOUSE.

KELLY T CLOUSE's primary taxonomy code based on NPI Lookup is 2084P0800X with license number ME110938. This taxonomy code refers to Psychiatry & Neurology.

KELLY T CLOUSE has more than 18 years of experience.

KELLY T CLOUSE current practice location address is 2021 PROFESSIONAL CENTER DR STE 101, ORANGE PARK, FL. KELLY T CLOUSE can be reached out via phone at 904-213-9210 and via fax at 904-213-9211 .

You can also correspond with KELLY T CLOUSE through mail at mailing address 2021 PROFESSIONAL CENTER DR STE 101, ORANGE PARK, FL, United States. Mailing address contact number is 904-213-9210.

The enumeration date of KELLY T CLOUSE is 14-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 2 years ago.

1932104288 NPI Information

Basic NPI information of KELLY T CLOUSE (NPI 1932104288) is provided below.

Name KELLY T CLOUSE
National Provider Id (NPI) 1932104288
Entity Type Individual
Gender M
Credential MD
Practice Address 2021 PROFESSIONAL CENTER DR STE 101,
ORANGE PARK, FL, United States
Practice Telephone 904-213-9210
Practice Fax Number 904-213-9211
Mailing Address 2021 PROFESSIONAL CENTER DR STE 101 ,
ORANGE PARK, FL, United States
Mailing Telephone 904-213-9210
Mailing Fax Number 904-213-9211
Enumeration Date 14-Jun-2005
Last Updated Date 21-Jan-2022

KELLY T CLOUSE (NPI 1932104288) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 2084P0800X Psychiatry & Neurology, Psychiatry ME110938 FL

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

KELLY T CLOUSE (NPI 1932104288) Secondary Taxonomy Information

The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.

Primary Taxonomy Code Clasification License Number License State
N 2084P0800X Psychiatry & Neurology, Psychiatry 46974 WI

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
34564000 MEDICAID (05) WI

KELLY T CLOUSE (NPI 1932104288) Office Location

Office location of KELLY T CLOUSE is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1598537813 1215 KINGSLEY AVE OPCO LLC Skilled Nursing Facility 1215 KINGSLEY AVE,
ORANGE PARK, FL, United States
30-Oct-2023
1942076989 4 REZILIENCE @ ITS BEST LLC Behavior Analyst 216 GILMORE LN,
ORANGE PARK, FL, United States
30-Nov-2023
1396994059 A BETTER MASSAGE CLINC INC Massage Therapist 2177 KINGSLEY AVE, SUITE 11
ORANGE PARK, FL, United States
17-Sep-2008
1003200874 A PLACE AT HOME, LLC Home Health 324 GLENWOOD CV,
ORANGE PARK, FL, United States
19-Mar-2015
1639487168 A-1 DENTAL CARE,INC. Dentist, General Practice 584 HUNTERS GROVE CT,
ORANGE PARK, FL, United States
17-Sep-2010
1629118971 A.C.T. HEALTHCARE SUPPORT SERVICES, INC Home Health 318 WILDBERRY CT,
ORANGE PARK, FL, United States
07-Feb-2007
1720226731 A1 IMAGING CENTER LLC Clinic/Center, Magnetic Resonance Imaging (MRI) 2 N TAMIAMI TRAIL, STE 210
SARASOTA, FL, United States
29-Jan-2009
1124276431 A1 IMAGING II OF ORANGE PARK LLC Clinic/Center, Magnetic Resonance Imaging (MRI) 2 N TAMIAMI TRL, SUITE 800
SARASOTA, FL, United States
29-Aug-2008
1053570093 A1IMAGING OF ORANGE PARK LLC Clinic/Center, Magnetic Resonance Imaging (MRI) 1566 KINGSLEY AVE,
ORANGE PARK, FL, United States
05-Jun-2008
1811152150 AAA MARINELLI HOME HEALTH AGENCY, INC D.B.A. HOME INSTEAD SENIOR CARE Home Health 165 WELLS RD, SUITE 301
ORANGE PARK, FL, United States
25-Jul-2008
1194253013 AABAC TAXI INC Non-emergency Medical Transport (VAN) PO BOX 951,
ORANGE PARK, FL, United States
23-May-2017
1275104713 NATHANIEL AARON Driver 6824 NORWOOD AVE,
JACKSONVILLE, FL, United States
06-Jul-2021
1497369359 TRACIE LADELL AARON Registered Nurse 1076 MOOSEHEAD DR,
ORANGE PARK, FL, United States
08-Sep-2020
1619438355 KEROLOS ABADEER General Practice 2001 KINGSLEY AVE,
ORANGE PARK, FL, United States
26-Mar-2019
1376074286 KEROLOS ABADEER Student in an Organized Health Care Education/Training Program 805 WELLS RD,
ORANGE PARK, FL, United States
22-Mar-2017
1235885286 APRIL ABARCA Massage Therapist 2020 WELLS RD APT 26H,
ORANGE PARK, FL, United States
01-Mar-2022
1982193785 RAMLA ABBAS Internal Medicine 2001 KINGSLEY AVENUE C/O TERESA PITCHFORD, SUITE #108
ORANGE PARK, FL, United States
07-May-2018
1659076081 JUDITH ABBEY Nurse Practitioner, Family 2652 COPPERWOOD AVE,
ORANGE PARK, FL, United States
04-Apr-2023
1659994598 MELANIE B ABBOUD Nurse Practitioner, Family 1906 SOUTHSIDE BLVD,
JACKSONVILLE, FL, United States
27-May-2020
1174758825 ABCN PAIN MANAGEMENT LLC Pain Medicine, Pain Medicine 201 MONTGOMERY AVE,
SARASOTA, FL, United States
26-May-2009

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1932104288?

1932104288 is the NPI number of KELLY T CLOUSE.

What is the specialty for KELLY T CLOUSE?

The Specialty of KELLY T CLOUSE is Psychiatry & Neurology.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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