Active NPI
Patricia Keeler, PHD
- School Psychologist
- Cuba, NM
National Provider Identifier
1003384181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- # 50 County Rd. 13
Cuba, NM 87013 - Phone
- (575) 289-3211
- Fax
- (575) 289-0437
- NPI assigned
- Nov 7, 2018
- Last updated
- Nov 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
# 50 County Rd. 13
Cuba, NM 87013
Mailing address
PO Box 70
Cuba, NM 87013-0070
Phone (575) 289-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| House of the Sacred Journey Inc | School | Current | Accepting new patients |
Locations
1920 7th St
Las Vegas, NM 87701
Phone (505) 370-4420
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1003384181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70",
"city": "CUBA",
"state": "NM",
"postal_code": "870130070",
"telephone_number": "575-289-3211",
"fax_number": "575-289-0437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "# 50 COUNTY RD. 13",
"city": "CUBA",
"state": "NM",
"postal_code": "87013",
"telephone_number": "575-289-3211",
"fax_number": "575-289-0437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELER",
"first_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cuba, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.