DAVID MICHAEL KEENAN


Address: 153 S Sierra Ave, Solana Beach, CA 92075-8001
Phone: 7602141711

DAVID MICHAEL KEENAN (NPI# 1851367460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851367460
Entity Type Individual
Full Name DAVID MICHAEL KEENAN
Credential PH.D.
Practice Address 153 S Sierra Ave
Solana Beach
CA 92075-8001
Mailing Address Po Box 1669
Solana Beach
CA 92075-7669
Practice Telephone 7602141711
Mailing Telephone 7602141711
Enumeration Date 2006-02-23
Last Update Date 2014-11-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
PSY8827 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 153 S SIERRA AVE
City SOLANA BEACH
State CA
Zip Code 92075-8001

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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

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Competitor

Search similar providers

City SOLANA BEACH
Zip Code 92075

Improve Information

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Dataset Information

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.

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