DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. KELLY ANN MENDONCA PSY.D.

MEDICARE: DR. KELLY ANN MENDONCA PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor001641-1NY
2103TC2200XClinical Child & Adolescent PsychologistP92114NY

General Provider Information

NPI Number : 1972761195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELLY ANN MENDONCA PSY.D.
Provider Business Mailing Address
First Line : 483 CLERMONT AVE
Second Line : 3RD FLOOR
City : BROOKLYN
State : NY
Zip : 11238-2253
Country : US
Telephone Number : 718-643-5300
Fax Number :
Provider Business Practice Location Address
First Line : 483 CLERMONT AVE
Second Line : 3RD FLOOR
City : BROOKLYN
State : NY
Zip : 11238-2253
Country : US
Telephone Number : 718-643-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2008
Last Update Date : 10/24/2014

Similar Medicare Providers

1740135839 — EUNICE LEE
Practice Location Address:
483 CLERMONT AVE
BROOKLYN, NY
11238-2253
Practice Phone: 718-643-5300
Practice Fax:
1790965655 — CARL FENICHEL COMMUNITY SERVICES
Practice Location Address:
483 CLERMONT AVE , 3RD FLOOR
BROOKLYN, NY
11238-2253
Practice Phone: 718-643-5300
Practice Fax: 718-643-0640
1295080554 — JOANNA MONIKA SUCH COTA
Practice Location Address:
483 CLERMONT AVE
BROOKLYN, NY
11238-2253
Practice Phone: 718-643-5300
Practice Fax:
1548515802 — KADIYA ROMEO OTR/L
Practice Location Address:
483 CLERMONT AVE
BROOKLYN, NY
11238-2253
Practice Phone: 718-643-5300
Practice Fax:
1942556204 — JESSICA GRAHAM MS, CCC/SLP, TSSLD
Practice Location Address:
483 CLERMONT AVE
BROOKLYN, NY
11238-2253
Practice Phone: 718-643-5300
Practice Fax:
1306192661 — KALEIGH JO STUBBLEFIELD MS, CCC-SLP, TSSLD
Practice Location Address:
483 CLERMONT AVE
BROOKLYN, NY
11238-2253
Practice Phone: 718-643-5300
Practice Fax:

Directions to “ DR. KELLY ANN MENDONCA PSY.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.