ANDREW BARCLAY KELLER (NPI# 1588874853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588874853 |
| Entity Type | Individual |
| Full Name | ANDREW BARCLAY KELLER |
| Other Name | ANDREW B KELLER |
| Credential | PH.D. |
| Practice Address |
113 Howard St Petoskey MI 49770-4612 |
| Practice Telephone | 2313488188 |
| Mailing Telephone | 2313488188 |
| Enumeration Date | 2007-05-23 |
| 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 | 6301011199 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033541396 | Andrew Keller | Pharmacist | 2011 Richard Jones Rd, Apt Q14, Nashville, TN 37215-2804 | 2013-08-08 |
| 1184154973 | Andrew Keller | Student in an Organized Health Care Education/Training Program | 5230 Centre Ave, Pittsburgh, PA 15232 | 2017-06-14 |
| 1548636558 | Andrew James Keller | Dentist | 909 112th Ave Ne Ste P104, Bellevue, WA 98004-8589 | 2015-08-12 |
| 1508154915 | Andrew Lester Keller | Nurse Practitioner | 110 N Campbell Station Rd, Knoxville, TN 37934 | 2011-07-19 |
| 1316261290 | Andrew M Keller | Student in an Organized Health Care Education/Training Program | 700 Childrens Dr, Columbus, OH 43205-2664 | 2010-03-21 |
| 1356670830 | Andrew Chapman Keller | Counselor | 417 Liberty St, Office 240b, Springfield, MA 01104-3736 | 2009-12-14 |
| 1205928876 | Andrew J Keller | Internal Medicine | 3023 Hamaker Court, Suite #100, Fairfax, VA 22031 | 2006-09-29 |
| 1013943810 | Andrew Keller | Internal Medicine | 27 Hospital Ave, Danbury, CT 06810-5954 | 2006-06-23 |
| Street Address |
113 HOWARD ST |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477615987 | Henrike Beate Kroemer | Psychologist | 113 Howard St, Petoskey, MI 49770-4612 | 2006-12-14 |
| 1275754558 | Claudia Ann Lutosky | Psychologist | 113 Howard St, Petoskey, MI 49770-4612 | 2007-05-02 |
| 1760608491 | Brenda Stuart Hough | Psychologist | 113 Howard St, Petoskey, MI 49770-4612 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| 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 |
|---|---|---|---|---|
| 1942403449 | Natalie Weber | Psychologist | 1 Macdonald Dr Ste B, Petoskey, MI 49770-4406 | 2007-06-11 |
| 1083935142 | Zelma Josie Bennett | Psychologist | 704 Petoskey St, Petoskey, MI 49770-2793 | 2010-06-11 |
| 1760623433 | Michael John Lucido | Psychologist | 1 Macdonald Dr Ste B, Petoskey, MI 49770-4406 | 2009-03-10 |
| 1407059991 | Karleen Jo Berry | Psychologist | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2007-06-11 |
| 1053478800 | Ronald Clemens Marshall | Psychologist | 2810 Charlevoix Ave, Petoskey, MI 49770-8421 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
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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.