DR. CHARLES KEITH (NPI# 1225027964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225027964 |
| Entity Type | Individual |
| Full Name | DR. CHARLES KEITH |
| Credential | PSY.D. |
| Practice Address |
21426 41st Ave Siute 204 Bayside NY 11361-2107 |
| Mailing Address |
7350 Bell Blvd 6e Oakland Gardens NY 11364-2938 |
| Practice Telephone | 7184687510 |
| Mailing Telephone | 7184687510 |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 010610 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OXFORD HEALTH INSURANCE | P420927 | 01 |
| NY | VALUE OPTIONS | 146045 | 01 |
| NY | GHI | 6800794 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487098240 | Charles Joseph Keith Jr. | Surgery | 1100 E Lake St Ste 150, Tyler, TX 75701-3357 | 2013-04-24 |
| 1548375942 | Charles Joseph Keith | Dentist | 315 Saraland Blvd N, Suite C, Saraland, AL 36571-2101 | 2006-08-19 |
| 1265472369 | Charles B Keith | Chiropractor | 316 S Goliad St, Suite 111, Rockwall, TX 75087-3760 | 2006-06-07 |
| Street Address |
21426 41ST AVE SIUTE 204 |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013309004 | Jessica Mei Gershen | Case Manager/Care Coordinator | 21426 41st Ave, Suite 130, Bayside, NY 11361-2159 | 2015-02-27 |
| 1497147771 | Carol Saenz-santamaria | Case Manager/Care Coordinator | 21426 41st Ave, Suite 130, Bayside, NY 11361-2159 | 2015-02-24 |
| 1386046126 | Narmeen Husssain | Case Manager/Care Coordinator | 21426 41st Ave, Bayside, NY 11361-2159 | 2014-09-24 |
| 1285984336 | Deirdre Scholl | Behavioral Analyst | 21426 41st Ave, Suite 130, Bayside, NY 11361-2159 | 2012-09-17 |
| 1386991776 | Kathleen Nicholas | Specialist | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-08-06 |
| 1538415955 | Zohreh Daniel | Specialist | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-08-03 |
| 1568718617 | Jennifer Mckay | Case Manager/Care Coordinator | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-07-26 |
| 1629324777 | Nadejge Pierre Louis | Case Manager/Care Coordinator | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-07-26 |
| 1124374285 | Johanna Arteaga | Case Manager/Care Coordinator | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-07-26 |
| 1700132859 | Bisma Anwar | Case Manager/Care Coordinator | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336516020 | Carolyn Ryan | Psychologist | 7822 Cloverdale Blvd, Unit B, Bayside, NY 11364-3124 | 2015-08-28 |
| 1295067304 | Robert S. Meyers | Psychologist | 4640 Springfield Blvd, Bayside, NY 11361-3517 | 2010-02-01 |
| 1063662674 | Shefali Tsabary | Psychologist | 4215 213th St, Bayside, NY 11361-2854 | 2008-09-19 |
| 1972601946 | Thomas Conrey | Psychologist | 21615 Northern Blvd, Bayside, NY 11361 | 2006-09-21 |
| 1720052095 | Robert L. Kayne | Psychologist | 22055 46th Ave, 5-v, Bayside, NY 11361-3601 | 2006-02-14 |
| 1275521866 | Martin Friedmutter | Psychologist | 3635 Bell Blvd Ste 203, Bayside, NY 11361-2097 | 2005-10-08 |
| 1528584000 | Jaime Marrus | Psychologist | 3850 Bell Blvd Ste A, Bayside, NY 11361-2028 | 2017-08-16 |
| 1275914129 | Barbara Bornstein | Psychologist | 8989 N Port Washington Rd, Suite 220, Bayside, WI 53217-1671 | 2015-06-17 |
| 1467871301 | Laura J Seiverling | Psychologist | 2901 216th St, Bayside, NY 11360-2810 | 2014-04-08 |
| 1013000504 | Dawn M Cuglietto | Psychologist | 2901 216th St, Bayside, NY 11360-2810 | 2006-10-02 |
| Find all providers in BAYSIDE | ||||
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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.