Active NPI
Wade Thomas Keckler, PSY.D.
- Clinical Psychologist
- Pensacola, FL
National Provider Identifier
1033447024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8045
- Practice address
- 6000 W Highway 98
Pensacola, FL 32512-0001 - Phone
- (850) 505-6900
- NPI assigned
- Dec 2, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8045 | FL | Primary |
Addresses
Primary practice location
6000 W Highway 98
Pensacola, FL 32512-0001
Mailing address
Naval Hospital Pensacola
6000 West Highway 98
Pensacola, FL 32512-0001
Phone (850) 505-6900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8045 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1033447024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL PENSACOLA",
"address_2": "6000 WEST HIGHWAY 98",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325120001",
"telephone_number": "850-505-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 W HIGHWAY 98",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325120001",
"telephone_number": "850-505-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KECKLER",
"first_name": "WADE",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-02",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "8045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.