DR. KEITH CLEMENTS WARREN (NPI# 1649356031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649356031 |
| Entity Type | Individual |
| Full Name | DR. KEITH CLEMENTS WARREN |
| Credential | PH D |
| Practice Address |
5020 Lakeland Cir Suite B Waco TX 76710-2996 |
| Practice Telephone | 2547229961 |
| Practice Fax Number | 2543999290 |
| Mailing Telephone | 2547229961 |
| Mailing Fax Number | 2543999290 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2014-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 23289 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 039240902 | 05 | |
| TX | BCBS | 00D59R | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003390790 | Keith L Warren Sr. | Counselor | 7400 Huntington Dr, 7400 Huntington Dr, Columbus, OH 43235 | 2018-09-19 |
| 1174958458 | Keith A Warren | Pharmacist | 1544 Piedmont Ave Ne, Atlanta, GA 30324-5018 | 2013-09-05 |
| 1275790552 | Keith Warren | Specialist | 214 King St, Ogdensburg, NY 13669-1142 | 2008-05-22 |
| 1790757631 | Keith Adrian Warren | Ophthalmology | 10100 W 119th St, Suite 260, Overland Park, KS 66213-1604 | 2006-02-04 |
| 1164493854 | Keith Reynolds Warren | Internal Medicine | 25 N Winfield Rd, Winfield, IL 60007-3361 | 2006-01-30 |
| Street Address |
5020 LAKELAND CIR SUITE B |
| City | WACO |
| State | TX |
| Zip Code | 76710-2996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386899615 | Louanna G Arterburn | Counselor | 5020 Lakeland Cir, Suite B, Waco, TX 76710-2996 | 2008-12-01 |
| 1811178445 | Keith C. Warren, Ph.d., P.C. | Psychologist | 5020 Lakeland Cir, Suite B, Waco, TX 76710-2996 | 2007-11-26 |
| 1942427448 | Shannon Denise Zander | Counselor | 5020 Lakeland Cir, Suite B, Waco, TX 76710-2996 | 2007-04-19 |
| 1114097441 | Denise Rene Boldt | Counselor | 5020 Lakeland Cir, Suite B, Waco, TX 76710-2996 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| 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 |
|---|---|---|---|---|
| 1821571837 | Yvette Szabo | Psychologist | 4800 Memorial Dr Bldg 94, Waco, TX 76711-1329 | 2018-09-14 |
| 1881061950 | Melissa Switzer | Psychologist | 4221 Lake Shore Villa Dr, Waco, TX 76710-1445 | 2015-08-25 |
| 1619208048 | Li Wan | Psychologist | 1 Bear Pl Unit 97334, Dept. of Psychology, Waco, TX 76798-7334 | 2010-01-25 |
| 1447438320 | Julia M. Becker | Psychologist | 8414 Old Mcgregor Rd, Unit B, Waco, TX 76712-6496 | 2008-02-04 |
| 1518183946 | James Norman Shinder | Psychologist | 3925 Interstate 35 S, Waco, TX 76706-3710 | 2007-04-17 |
| 1134259476 | Tamara Lynn Hodges | Psychologist | 305 Londonderry, Ste 7, Waco, TX 76712-7906 | 2007-03-06 |
| 1043353758 | Mercy Chieza | Psychologist | 6515 Sanger Ave, Suite 2, Waco, TX 76710-7813 | 2007-02-14 |
| 1851440051 | Richard W. Brunn | Psychologist | 305 Londonderry Dr Ste 2, Waco, TX 76712-7906 | 2007-01-09 |
| 1972606317 | Constance Adler | Psychologist | 6501 Sanger, Waco, TX 76710 | 2006-09-07 |
| 1942292719 | M. Theresa Emerson | Psychologist | 6609 Sanger Ave, Waco, TX 76710-4252 | 2005-08-18 |
| Find all providers in WACO | ||||
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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.