THERESA KEANE (NPI# 1811191414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811191414 |
| Entity Type | Individual |
| Full Name | THERESA KEANE |
| Credential | PH.D., NPP |
| Practice Address |
185 Green St Suite 2 Kingston NY 12401-3716 |
| Mailing Address |
97 Grace Way Olivebridge NY 12461-5236 |
| Practice Telephone | 9174533684 |
| Practice Fax Number | 9174533684 |
| Mailing Telephone | 9174533684 |
| Mailing Fax Number | 9174533684 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2010-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
011974-1 | NY | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401198 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104382969 | Theresa A Keane | Social Worker | 285 Middle Country Rd # Ll5, Smithtown, NY 11787-2978 | 2019-02-18 |
| Street Address |
185 GREEN ST SUITE 2 |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558602094 | Megan Louise Chipkin | Nurse Practitioner | 185 Green St, Suite 2, Kingston, NY 12401-3716 | 2013-03-08 |
| 1720231095 | Holly Ellison | Nurse Practitioner | 185 Green St, Suite 2, Kingston, NY 12401-3716 | 2008-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134611023 | Jamie Glass | Nurse Practitioner | 14 Spruce St, Kingston, NY 12401-6612 | 2018-06-05 |
| 1073660270 | Linda Mainetti | Nurse Practitioner | 144 Pine St Suite 220, Kingston, NY 12401 | 2007-01-03 |
| 1447218813 | Catherine Lala | Nurse Practitioner | 105 Mary Avenue, Kingston, NY 12401 | 2006-05-03 |
| 1053379966 | Hans M Boehm | Nurse Practitioner | 105 Mary's Avenue, Kingston, NY 12401 | 2006-05-02 |
| 1245840073 | Teasia Williams | Nurse Practitioner | 239 Golden Hill Ln, Kingston, NY 12401-6452 | 2020-08-06 |
| 1871933143 | Jennifer Ruth Blank Quintero | Nurse Practitioner | 1 Family Practice Dr, Kingston, NY 12401-6449 | 2013-07-01 |
| 1558602094 | Megan Louise Chipkin | Nurse Practitioner | 185 Green St, Suite 2, Kingston, NY 12401-3716 | 2013-03-08 |
| 1720231095 | Holly Ellison | Nurse Practitioner | 185 Green St, Suite 2, Kingston, NY 12401-3716 | 2008-10-29 |
| 1235210949 | Meryl Kramer-harrison II | Nurse Practitioner | 239 Golden Hill Ln, Ulster County Mental Health Department, Kingston, NY 12401-6441 | 2006-10-18 |
| 1497861678 | Dara Heinlein | Nurse Practitioner | 105 Mary's Avenue, Kingston, NY 12401 | 2006-08-21 |
| Find all providers in KINGSTON | ||||
Please comment or provide details below to improve the information on THERESA KEANE.
| 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.