KEELEY PSYCHIATRY LLC (NPI# 1104434281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104434281 |
| Entity Type | Organization |
| Organization Name | KEELEY PSYCHIATRY LLC |
| Practice Address |
5100 Buckeystown Pike Ste 250 Frederick MD 21704-8344 |
| Practice Telephone | 8643993838 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | SHANNON JEAN SOZZI (OWNER) |
| Authorized Official Telephone | 8643993838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
5100 BUCKEYSTOWN PIKE STE 250 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-8344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114949708 | Sanjeev Kumar Singhal | Psychiatry & Neurology | 5100 Buckeystown Pike Ste 250, Frederick, MD 21704-8344 | 2006-07-24 |
| 1861009508 | Affinity Systems Inc | Durable Medical Equipment & Medical Supplies | 5100 Buckeystown Pike Ste 250, Frederick, MD 21704-8344 | 2020-09-27 |
| 1720623770 | Achieving True Self | Community/Behavioral Health | 5100 Buckeystown Pike Ste 250, Frederick, MD 21704-8344 | 2019-11-14 |
| 1326696840 | Shiloh Healthcare LLC | Home Health | 5100 Buckeystown Pike Ste 250, Frederick, MD 21704-8344 | 2019-08-28 |
| 1578118865 | Amber Groomes, Ph.d., LLC | Psychologist | 5100 Buckeystown Pike Ste 250, Frederick, MD 21704-8344 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852187 | Open Arms, Open Minds Behavioral Health Services | Clinic/Center | 365 W Patrick St Ste 202, Frederick, MD 21701-4854 | 2020-02-07 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1033381892 | Lds Family Services | Clinic/Center | 172 Thomas Johnson Drive, Suite 200, Frederick, MD 21702-4404 | 2008-04-01 |
| 1659978732 | Mental Health Association of Frederick County | Clinic/Center | 226 S Jefferson St, Frederick, MD 21701-6205 | 2020-10-02 |
| 1003453366 | Maryland Center for Gender & Intimacy | Clinic/Center | 319 W Patrick St, Frederick, MD 21701-4855 | 2019-12-05 |
| 1871063685 | Genesis Treatment Services, LLC | Clinic/Center | 1160 W Patrick St, Frederick, MD 21703-3962 | 2018-12-05 |
| 1336614536 | Main Place Treatment Centers LLC. | Clinic/Center | 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 | 2018-10-04 |
| 1427548569 | Mindful Marriage and Family Therapy, LLC | Clinic/Center | 120 W Church St Ste 3b, Frederick, MD 21701-7813 | 2018-05-15 |
| 1295243186 | Crazy Talk, LLC | Clinic/Center | 65 Thomas Johnson Dr Ste A, Frederick, MD 21702-4371 | 2018-01-14 |
| 1134579626 | Middleton Psychology Services, LLC | Clinic/Center | 176 Thomas Johnson Dr, Suite 204, Frederick, MD 21702-4410 | 2016-06-15 |
| Find all providers in FREDERICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.