National Provider Identifier
Jeremy Maclaren Kelly, PHD
Jeremy Maclaren Kelly, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Pittsford, NY and a listed phone number of (585) 276-6900.
Profile Overview
- NPI
- 1548825078
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- May 09, 2019
- Last Updated
- March 21, 2025
Practice Location
- 179 Sullys Trl Ste 200
- Pittsford, NY 14534-4500
Phone: (585) 276-6900
Mailing Address
- 300 Crittenden Blvd Box Psych
- Rochester, NY 14642-0001
Specialties
- Clinical Psychologist (103TC0700X)
- Clinical Psychologist (103TC0700X)
Endpoints
- jkelly183284@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1548825078
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Jeremy
- Middle Name
- Maclaren
- Credential
- PHD
- Mailing Street Address
- 300 Crittenden Blvd Box Psych
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 276-6900
- Practice Street Address
- 179 Sullys Trl Ste 200
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-4500
- Practice Country
- US
- Practice Phone
- (585) 276-6900
- Practice Fax
- (585) 273-1066
- Enumeration Date
- May 09, 2019
- Last Updated
- March 21, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 21, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X), Clinical Psychologist (103TC0700X)