DR. KEITH JOHN ANDERSON (NPI# 1174654917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174654917 |
Entity Type | Individual |
Full Name | DR. KEITH JOHN ANDERSON |
Credential | PH.D. |
Practice Address |
110 8th St. Troy NY 12180 |
Mailing Address |
320a Elsmere Ave Delmar NY 12054-9702 |
Practice Telephone | 5182766479 |
Mailing Telephone | 5184391101 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
0130081 | NY | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144579343 | Keith Alan Anderson | Chiropractor | 208 S Burlington Ave Ste 114, Hastings, NE 68901-5950 | 2012-09-04 |
1790245611 | Keith Anderson Jr. | Student in an Organized Health Care Education/Training Program | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2019-03-25 |
1275035503 | Keith Francis Anderson Jr. | Speech-Language Pathologist | 180 W 80th St, New York, NY 10024-6378 | 2018-03-02 |
1578072948 | Keith Michael Anderson | Social Worker | 608 Wright Ave, Alma, MI 48801-1617 | 2017-09-28 |
1295196566 | Keith Anderson | Student in an Organized Health Care Education/Training Program | 3302 Gaston Ave, Dallas, TX 75246-2013 | 2016-03-15 |
1891039814 | Keith Erwin Anderson | Social Worker | 3600 Broadway, Suite 19, West Palm Beach, FL 33407-4844 | 2012-11-15 |
1902185051 | Keith Richard Anderson | Podiatrist | 7231 Sunwood Dr Nw, Ramsey, MN 55303-5190 | 2011-08-08 |
1982863312 | Keith A Anderson | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2008-06-02 |
1174652606 | Keith Alan Anderson | Family Medicine | 200 Greenwich Rd, Charlotte, NC 28211-2316 | 2007-03-02 |
1356401459 | Keith Fletcher Anderson | Dentist | 9225 Manchester Rd, Suite 202, Saint Louis, MO 63144-2640 | 2006-12-11 |
Street Address |
110 8TH ST. |
City | TROY |
State | NY |
Zip Code | 12180 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
Find all providers in zip 12180 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063828051 | Jo-chen Hou | Psychologist | 830 Longfellow Dr, Troy, MI 48085-4881 | 2014-07-10 |
1992867774 | Russell Wolff | Psychologist | 15-17 Third Street, C/o Independent Living Center of The Hudson Valley, Troy, NY 12180 | 2006-12-15 |
1740881044 | Angelia Evangelista | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-11-03 |
1699374058 | Stefanie Kloiber | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-17 |
1033631122 | Neala Ann O'hara | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2017-07-11 |
1124573258 | Alan Jacob Thain | Psychologist | 1777 Axtell Dr, #100, Troy, MI 48084-4404 | 2016-08-18 |
1265862148 | Tarsha Gale | Psychologist | 1777 Axtell Dr, 100, Troy, MI 48084-4404 | 2013-11-14 |
1669609053 | Dawn Marie Ottenbreit | Psychologist | 888 W Big Beaver Rd, Troy, MI 48084-4736 | 2009-06-12 |
1043372634 | Leslie Ayers | Psychologist | 888 W Big Beaver Rd Ste 1450, Troy, MI 48084-4762 | 2006-12-14 |
1992898183 | Diana Jennings | Psychologist | 888 W Big Beaver Rd Ste 1450, Troy, MI 48084-4762 | 2006-10-02 |
Find all providers in TROY |
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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.