Healthcare Provider Details

I. General information

NPI: 1417044207
Provider Name (Legal Business Name): KELLY ADELE BARRINGTON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 SW 34TH AVE STE 701
OCALA FL
34474-8443
US

IV. Provider business mailing address

213 DOSTER DR
CASSELBERRY FL
32707-5748
US

V. Phone/Fax

Practice location:
  • Phone: 877-779-2429
  • Fax:
Mailing address:
  • Phone: 74-252-5464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY8293
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY8293
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: