Active NPIIndividual providerSole proprietor

Dr. Kellie V Walker Ishmael, PSYD

Psychologist in Ardsley, New York

NPI Number1164660197
Practice location
410 Saw Mill River RD, Ardsley Park, Ardsley, NY 10502-2614
Fax
914-479-0037
Last updated
January 29, 2009

Kellie Victoria Walker Ishmael is a Psychologist based in Ardsley, NY. Kellie Victoria Walker Ishmael practices in Ardsley, NY and has the professional credentials of PSYD. The NPI Number for Kellie Victoria Walker Ishmael is 1164660197 and holds a License No. 012185 (NY). The current practice location address for Kellie Victoria Walker Ishmael is 410 Saw Mill River RD, Ardsley Park, Ardsley, NY 10502-2614 and can be reached out via phone at 914-479-0036 and via fax at 914-479-0037.

Provider Profile Details

NPI Number
1164660197
Provider Name
Kellie Victoria Walker Ishmael
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
410 Saw Mill River RD, Ardsley Park, Ardsley, NY 10502-2614
Phone Number
914-479-0036
Fax Number
914-479-0037
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 29, 2009
Last Update Date
January 29, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
410 Saw Mill River RD
Ardsley Park
Ardsley, NY 10502-2614
Zip
10502-2614
Phone Number
914-479-0036
Fax Number
914-479-0037
Ardsley, NY 10502Get directions →

Provider Business Mailing Address Details

Address
17 Fuller RD
Ossining, NY 10562-5607
City
Ossining
State
NY
Zip
10562-5607
Phone Number
914-762-3826

License Information

License Number
012185
License State
NY
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kellie V Walker Ishmael, PSYD?

The NPI number of Dr. Kellie V Walker Ishmael, PSYD is 1164660197. It was assigned on January 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Kellie V Walker Ishmael, PSYD?

Dr. Kellie V Walker Ishmael, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NY under license number 012185.

Where does Dr. Kellie V Walker Ishmael, PSYD practice?

The practice location is 410 Saw Mill River RD, Ardsley Park, Ardsley, NY 10502-2614. The office can be reached at 914-479-0036 (phone) or 914-479-0037 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164660197 directly on the NPPES registry website.

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