KATHLEEN ANN KELLER (NPI# 1669883336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669883336 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANN KELLER |
| Credential | PSY.D. |
| Practice Address |
4001 Highway 104 Ione CA 95640-9099 |
| Mailing Address |
Po Box 409099 Ione CA 95640-9099 |
| Practice Telephone | 2092744911 |
| Mailing Telephone | 2092744911 |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY19670 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306393939 | Kathleen Keller | Registered Nurse | 700 Corporate Boulaverd, Newburgh, NY 12550 | 2016-09-01 |
| 1134470289 | Kathleen Joan Keller | Occupational Therapy Assistant | 15352 W Hearn Rd, Surprise, AZ 85379-7067 | 2012-09-28 |
| 1114492402 | Kathleen E Keller | Counselor | 200 N Bernard St, Spokane, WA 99201-0206 | 2018-10-12 |
| 1497903074 | Kathleen Keller | Speech-Language Pathologist | 12276 San Jose Blvd, Suite 507, Jacksonville, FL 32223-8628 | 2008-09-08 |
| 1740369594 | Kathleen Keller | Occupational Therapist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-11-03 |
| 1801839907 | Kathleen Keller | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2006-06-14 |
| Street Address |
4001 HIGHWAY 104 |
| City | IONE |
| State | CA |
| Zip Code | 95640-9099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841251105 | Joseph Chudy | Family Medicine | 4001 Highway 104, Ione, CA 95640 | 2006-03-28 |
| 1134720725 | Ava Le | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2020-11-02 |
| 1821602855 | Marina Protsenko | Social Worker | 4001 Highway 104, Ione, CA 95640 | 2020-09-08 |
| 1427407832 | Melissa Derrick | Nurse Practitioner | 4001 Highway 104, Ione, CA 95640 | 2016-06-07 |
| 1134558240 | Cdcr | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2013-11-08 |
| 1316287089 | Debra Ruth Laughlin | Social Worker | 4001 Highway 104, Ione, CA 95640 | 2013-02-18 |
| 1982952230 | Kelsey Tumiel | Counselor | 4001 Highway 104, Ione, CA 95640 | 2012-08-16 |
| 1497068878 | Amy Smith | Counselor | 4001 Highway 104, Ione, CA 95640 | 2010-07-14 |
| 1073846291 | Marshay L. Anderson | Counselor | 4001 Highway 104, Ione, CA 95640 | 2009-09-08 |
| 1053549774 | Annie Gutierrez | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1164810370 | Sarah D Smith | Psychologist | 4001 Highway-104, Ione, CA 95640 | 2014-12-23 |
| 1992130108 | Robert W Landry | Psychologist | 4001 Hwy. 104, Ione, CA 95640 | 2013-09-06 |
| 1629414735 | Teresa Stevenson | Psychologist | 4001 California Highway 104, Ione, CA 95640 | 2013-05-15 |
| 1629319215 | Kristina Towner | Social Worker | Mcsp, 4001 Hwy 104, Attn: Mental Health Services Department, Ione, CA 95640 | 2013-03-07 |
| 1437495256 | Robert Charles Arnold | Psychologist | 4001 Ca-104, Ione, CA 95640 | 2012-12-26 |
| 1518214741 | Brandy Malloy | Student in an Organized Health Care Education/Training Program | 4001 Highway 101, Ione, CA 95640 | 2012-08-07 |
| 1215296918 | Wayne J Batalo | Pharmacist | 4001 Highway 102, Ione, CA 95640 | 2012-05-15 |
| 1447402920 | Allison L.v. Andres | Psychologist | 4001 Highway 104 Mental Health Department, Mule Creek State Prison (csp-mcsp), Ione, CA 95640 | 2008-10-16 |
| 1295930188 | Evalyn Horowitz | Internal Medicine | 4001 California 104, Ione, CA 95640 | 2007-06-19 |
| Find all providers in zip 95640 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134598295 | O. M. Custer | Psychologist | 14 West Main St, Suite 5, Ione, CA 95640-1415 | 2015-09-18 |
| 1629414735 | Teresa Stevenson | Psychologist | 4001 California Highway 104, Ione, CA 95640 | 2013-05-15 |
| 1437495256 | Robert Charles Arnold | Psychologist | 4001 Ca-104, Ione, CA 95640 | 2012-12-26 |
| 1417111709 | Marilyn Sue Immoos | Psychologist | 323 Edgebrook Dr, Ione, CA 95640-5204 | 2008-07-15 |
| 1134720725 | Ava Le | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2020-11-02 |
| 1366783672 | Carol Inez Anderson | Psychologist | 4001 California 104, Ione, CA 95640 | 2013-03-12 |
| 1053549774 | Annie Gutierrez | Psychologist | 4001 Highway 104, Ione, CA 95640 | 2009-07-01 |
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|---|---|---|---|---|
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| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
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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.