DIANNE KELLER (NPI# 1902996150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902996150 |
Entity Type | Individual |
Full Name | DIANNE KELLER |
Credential | M.D. |
Practice Address |
2502 N Dodge Blvd Suite 190 Tucson AZ 85716-2671 |
Practice Telephone | 5204904266 |
Practice Fax Number | 5206171608 |
Mailing Telephone | 5204904266 |
Mailing Fax Number | 5206171608 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2011-02-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
20611 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 113324 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508904012 | Dianne Louise Keller | Registered Nurse | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2007-02-05 |
Street Address |
2502 N DODGE BLVD SUITE 190 |
City | TUCSON |
State | AZ |
Zip Code | 85716-2671 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013012699 | Ivy L Schwartz | Family Medicine | 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716-2671 | 2006-09-14 |
1811432149 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 2502 N Dodge Blvd, Suite 190 Central & East, Tucson, AZ 85716 | 2016-12-22 |
1215487384 | Community Bridges, Inc. | Clinical Medical Laboratory | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2016-10-12 |
1740737196 | Community Bridges, Inc. | Clinical Medical Laboratory | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2016-09-01 |
1427415215 | Community Partnership Care Coordination, LLC | Counselor | 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716-2671 | 2016-01-25 |
1740645571 | Rachel Martin | Social Worker | 2502 N Dodge Blvd, Tucson, AZ 85716-2671 | 2015-12-21 |
1932573136 | Devereux Foundation | Community Based Residential Treatment Facility, Mental Illness | 2502 N Dodge Blvd, Suite 120, Tucson, AZ 85716-2671 | 2015-11-25 |
1992171268 | Devereux Foundation | Community/Behavioral Health | 2502 N Dodge Blvd, Suite 110, Tucson, AZ 85716-2671 | 2015-08-20 |
1700252707 | Eric Parrish | Counselor | 2502 N Dodge Blvd, Tucson, AZ 85716-2671 | 2015-08-13 |
1275914830 | Mary Pentland | Social Worker | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2015-06-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
Find all providers in zip 85716 |
Taxonomy Code | 2084P0802X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Psychiatry |
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972717999 | Michael E Scott | Psychiatry & Neurology | 6280 E. Pima, Ste 110, Tucson, AZ 85712 | 2007-05-09 |
1134219397 | Marianne Klugheit | Psychiatry & Neurology | 6301 S 6th Ave, Tucson, AZ 85723-0001 | 2006-10-16 |
1265611743 | Bethann Mahoney PC | Psychiatry & Neurology | 6812 N Oracle Rd, Suite 100, Tucson, AZ 85704-4246 | 2007-10-31 |
1063502201 | Steve Diez De Pinos | Psychiatry & Neurology | 1210 E. Pennsylvania, Tucson, AZ 85712 | 2006-10-16 |
1831289008 | Tena Moyer | Psychiatry & Neurology | 502 W. 29th Street, Tucson, AZ 85713-3353 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811483878 | Desert Mountain Health | Psychiatry & Neurology | 6613 N Scottsdale Rd Ste 101, Scottsdale, AZ 85250-7800 | 2018-07-02 |
1730547134 | Cope Community Services, Inc. | Psychiatry & Neurology | 1660 W Commerce Point Pl, Green Valley, AZ 85614 | 2016-02-01 |
1598189235 | Annees Ouseph Moonjelly | Psychiatry & Neurology | 1305 East Butte Avenue, Florence, AZ 85132 | 2014-02-18 |
1912026089 | Michael Mahl | Psychiatry & Neurology | 312 N Alma School Rd Ste 18, Chandler, AZ 85224-4354 | 2007-03-28 |
1710340302 | Psych Unlimited Pllc | Psychiatry & Neurology | 6350 S Maple Ave, Tempe, AZ 85283-2857 | 2016-03-31 |
1780098228 | 2nd Chance Treatment Centers Pllc | Psychiatry & Neurology | 16620 N 40th St, Ste I5, Phoenix, AZ 85032-3348 | 2014-06-12 |
1902241284 | Alan Kazan Md PC | Psychiatry & Neurology | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 | 2013-05-01 |
1982666483 | Alan Kazan | Psychiatry & Neurology | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 | 2006-04-03 |
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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.