Dr Kelly Ann Mendonca, PSYD is a
Psychologist - Clinical Child & Adolescent based in Brooklyn, New York. Dr Kelly Ann Mendonca is licensed to practice in New York (license number P92114) and her current practice location is
483 Clermont Ave, 3rd Floor, Brooklyn, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 643-5300.
NPI number for Dr Kelly Ann Mendonca is 1972761195 and her current mailing address is 483 Clermont Ave, 3rd Floor, Brooklyn, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972761195.
Healthcare Provider's Profile
| Full Name | Dr Kelly Ann Mendonca |
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| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 483 Clermont Ave, Brooklyn, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972761195
- Provider Enumeration Date: 05/23/2008
- Last Update Date: 10/24/2014
Medical Identifiers
Medical identifiers for Dr Kelly Ann Mendonca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972761195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 001641-1 (New York) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | P92114 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Ann Mendonca is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kelly Ann Mendonca, PSYD
483 Clermont Ave, 3rd Floor,
Brooklyn, NY 11238-2253
Ph: (718) 643-5300 | Dr Kelly Ann Mendonca, PSYD
483 Clermont Ave, 3rd Floor,
Brooklyn, NY 11238-2253
Ph: (718) 643-5300 |
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