DR. STEPHEN KELLER (NPI# 1689916439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689916439 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN KELLER |
| Credential | PSYD |
| Practice Address |
Usa Meddac 11050 Mount Belvedere Blvd Fort Drum NY 13602 |
| Mailing Address |
Po Box 600 Route 202 Lincolndale NY 10540-0600 |
| Practice Telephone | 3157722247 |
| Mailing Telephone | 9142487474 |
| Mailing Fax Number | 9142481615 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 3206 | CT | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 018263 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 145 Route 202, Lincolndale, NY 105400600 | 9142487474 | 9142481615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013222686 | Stephen James Keller | Registered Nurse | 4201 Maidstone Dr, Garland, TX 75043-7233 | 2010-08-08 |
| 1992768030 | Stephen M Keller | Radiology | 307 Cabin Grove Ln, Saint Louis, MO 63141-8171 | 2006-04-10 |
| 1770550345 | Stephen Robert Keller | Optometrist | 36921 Cook St, Suite 104, Palm Desert, CA 92211-6070 | 2006-03-02 |
| 1679864599 | Stephen Keller | Emergency Medicine | 1130 N Baldwin Ave, Marion, IN 46952-2536 | 2011-04-26 |
| 1770596777 | Stephen C Keller | Physician Assistant | 4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2006-08-14 |
| 1396772968 | Stephen R Keller | Pediatrics | 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042-3307 | 2006-06-27 |
| 1427003144 | Stephen Phillip Keller | Internal Medicine | 7305 N. Military Trail, Medicine (111), West Palm Beach, FL 33410 | 2006-05-23 |
| Street Address |
USA MEDDAC 11050 MOUNT BELVEDERE BLVD |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538159512 | Jacqueline L Lucas | Social Worker | Usa Meddac, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-5004 | 2005-10-21 |
| 1497365563 | John Lewis Mcafee | Student in an Organized Health Care Education/Training Program | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2020-08-04 |
| 1831746916 | Lindsay Caroline Wise | Physical Therapist | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-08-22 |
| 1215454855 | Emily Alexis Bartlett | Physical Therapist | Usa Meddac, 11050 Mount Belvedere Boulevard, Fort Drum, NY 13602-5004 | 2017-08-24 |
| 1841727534 | Faith Catherine Elise Moore | Internal Medicine | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2017-05-12 |
| 1679932115 | Cornelia J Willis | Internal Medicine | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2016-02-11 |
| 1982083812 | Griffin Matthew Biedron | Orthopaedic Surgery | Usa Meddac, 11050 Mt. Belvedere Blvd, Fort Drum, NY 13602 | 2015-05-26 |
| 1528453677 | Kelly Macdonald | Psychiatry & Neurology | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5004 | 2015-04-04 |
| 1740680875 | Wesley Snow | Pharmacist | Usa Meddac, 11050 Mt. Belvedere Blvd, Fort Drum, NY 13602 | 2014-08-26 |
| 1023092335 | Kenneth Herbert Thomas Jr. | Counselor | Usa Meddac, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-4025 | 2005-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| 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 |
|---|---|---|---|---|
| 1700142767 | Stacey Ann Krauss | Psychologist | 11050 Mount Belvedere Blvd, Bldg P36 Department of Behavioral Health, Fort Drum, NY 13602-5438 | 2012-04-04 |
| 1790754323 | Brian David Keller | Psychologist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1952900177 | Sarah Slotkin | Psychologist | 997 Altamont Blvd, Altamont, NY 12009-6313 | 2020-10-19 |
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1447859830 | Casey Dowdell | Psychologist | 2201 Hempstead Tpke # 10, East Meadow, NY 11554-1859 | 2020-10-18 |
| 1578161063 | Amanda Robyn Schwartz | Psychologist | 11 Appleby Dr, Bedford, NY 10506-1340 | 2020-10-15 |
| 1912505967 | Tracy Lynn Clouthier | Psychologist | 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 | 2020-10-13 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1639786833 | Benjamin Malkin | Psychologist | 663 Golf Dr, Valley Stream, NY 11581-3547 | 2020-09-30 |
| 1043827678 | Paul Lichtenberg | Psychologist | 236 Tow Path Rd, Accord, NY 12404-5516 | 2020-09-28 |
| 1073129169 | Alyssa Van Der Merwe | Psychologist | 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. STEPHEN KELLER.
| 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.