DR. JENNIFER KELLER I (NPI# 1295105682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295105682 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER KELLER I |
| Credential | PHD |
| Practice Address |
770 Lake Cook Rd Suite 320 Deerfield IL 60015-4920 |
| Practice Telephone | 8476004124 |
| Mailing Telephone | 8476004124 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071009135 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528580339 | Jennifer Pillard Keller | Behavioral Analyst | 12310 Bailey Bridge Rd, Midlothian, VA 23112-3118 | 2017-07-13 |
| 1073929527 | Jennifer Keller | Home Health Aide | 38462 Oak Hill Ln Apt 202, Willoughby, OH 44094-7644 | 2014-07-04 |
| 1578821385 | Jennifer Keller | Residential Treatment Facility, Physical Disabilities | 1190 Arrowhead Ln, Peconic, NY 11958-1602 | 2012-04-30 |
| 1447489372 | Jennifer Marie Keller | Clinical Neuropsychologist | 7180 Highland Dr # 16e, Pittsburgh, PA 15206-1206 | 2009-07-13 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| 1144290784 | Jennifer Anne Keller | Podiatrist | 60 Summerfield Ct, Suite 102, Roanoke, VA 24019-4579 | 2006-01-25 |
| 1396362125 | Jennifer Lyn Keller | Registered Nurse | 170 Grandview Ave Ste 1, Waterbury, CT 06708-2577 | 2020-06-27 |
| 1730705708 | Jennifer Jo Keller | Massage Therapist | 680 Nw Gilman Blvd Ste A, Issaquah, WA 98027-2454 | 2020-06-24 |
| 1497248264 | Jennifer A Keller | Physical Therapist | 800 S Main Ave, Rugby, ND 58368-2118 | 2018-06-07 |
| 1932601374 | Jennifer Ardell Keller | Nurse Practitioner | 2007 Montreal Rd, Tucker, GA 30084-5253 | 2018-03-01 |
| Street Address |
770 LAKE COOK RD SUITE 320 |
| City | DEERFIELD |
| State | IL |
| Zip Code | 60015-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518033810 | Tammy S Yuen | Psychiatry & Neurology | 770 Lake Cook Rd, Deerfield, IL 60015-4920 | 2006-11-28 |
| 1801338561 | Samantha Fox | Psychologist | 770 Lake Cook Rd, Suite 220, Deerfield, IL 60015-4920 | 2016-11-12 |
| 1346690120 | Cathy J Betti | Marriage & Family Therapist | 770 Lake Cook Rd, Suite 220, Deerfield, IL 60015-4920 | 2016-06-13 |
| 1396193199 | Sylvia Davidson | Psychologist | 770 Lake Cook Rd, Suite 210, Deerfield, IL 60015-4920 | 2016-06-02 |
| 1841658820 | Apex Performance Consulting, Inc. | Psychologist | 770 Lake Cook Rd, Deerfield, IL 60015-4920 | 2016-02-04 |
| 1700259819 | Change Perspectives Psychological Services, LLC | Psychologist | 770 Lake Cook Rd, 270, Deerfield, IL 60015-4920 | 2015-11-11 |
| 1487025888 | Haley Rorabeck | Counselor | 770 Lake Cook Rd, 320, Deerfield, IL 60015-4920 | 2015-10-12 |
| 1114396504 | Minda G Gerber Lcsw | Social Worker | 770 Lake Cook Rd, Suite 220, Deerfield, IL 60015-4920 | 2015-09-16 |
| 1467832907 | Amy M Thome | Counselor | 770 Lake Cook Rd, Suite 270, Deerfield, IL 60015-4920 | 2015-05-30 |
| 1639577943 | Sandra Ruggles | Counselor | 770 Lake Cook Rd, Suite 220, Deerfield, IL 60015 | 2014-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| Find all providers in zip 60015 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295360758 | Bbg Psychological Services, Inc. | Psychologist | 1020 Milwaukee Ave Ste 215, Deerfield, IL 60015-3554 | 2020-03-05 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1790261774 | Mariana Tokar | Psychologist | 862 Swan Ln, Deerfield, IL 60015-3671 | 2018-07-13 |
| 1134465644 | Nick J Sotor | Psychologist | 770 Lake Cook Rd Ste 210, Deerfield, IL 60015-4976 | 2013-01-02 |
| 1588934483 | Beth Becker | Psychologist | 85 Larkdale East Rd, Deerfield, IL 60015-5055 | 2012-01-09 |
| 1104194745 | Ashley K Whittington-barnish | Psychologist | 1374 Meadow Ln, Deerfield, IL 60015-2835 | 2011-12-11 |
| 1629365101 | Julieanne Pojas | Psychologist | 707 Lake Cook Rd Ste 310, United States, Deerfield, IL 60015-4933 | 2011-07-05 |
| 1295052082 | Tracy A. Halsema | Psychologist | 720 Osterman Ave Ste 203, Deerfield, IL 60015-4339 | 2010-05-03 |
| 1962643999 | Jeanne Yakin Ltd | Psychologist | 500 Lake Cook Rd, Suite 350, Deerfield, IL 60015-5609 | 2009-03-21 |
| 1992945547 | Jeffrey Adam Fishbein | Psychologist | 770 Lake Cook Rd Ste 250, Deerfield, IL 60015-4976 | 2009-02-23 |
| Find all providers in DEERFIELD | ||||
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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.