Individual provider Active NPI

Patricia Keeler, PHD

  • School Psychologist
  • Cuba, NM
National Provider Identifier
1003384181
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
# 50 County Rd. 13
Cuba, NM 87013
Phone
(575) 289-3211
Fax
(575) 289-0437
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
House of the Sacred Journey Inc School CurrentSince Nov 25, 2024 Accepting new patients

Locations

1920 7th St
Las Vegas, NM 87701
Phone (505) 370-4420

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

# 50 County Rd. 13
Cuba, NM 87013

Mailing address

PO Box 70
Cuba, NM 87013-0070
Phone (575) 289-3211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2018.

{
    "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

Verify at the official NPI Registry.