Keeley Psychiatry of Virginia, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KEELEY PSYCHIATRY OF VIRGINIA, LLC

Practice address

11815 Fountain Way Ste 300
Newport News, VA 23606-4448

Phone

(757) 204-1657

Fax

(240) 201-3033

NPI assigned

Sep 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon Sozzi, PMHNP

Title

Owner

Phone

(240) 200-4037

Specialties & licenses 1

Addresses

Other names 1

• Keeley Psychiatry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1043098221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11815 FOUNTAIN WAY STE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064448",
            "telephone_number": "757-204-1657",
            "fax_number": "240-201-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 FOUNTAIN WAY STE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064448",
            "telephone_number": "757-204-1657",
            "fax_number": "240-201-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEELEY PSYCHIATRY OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "SOZZI",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-200-4037",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keeley Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Young Kearney, O.D.
• Tylesha Kebe
• Raven Kee
• Stephen D Keefe, MD
• Brian Michael Keel, MD
• Corey Keeling, QMHP-T , CSAC S, BA
• Grace L Keene
• Tori L Keener
• Keep Moving Transportation LLC
• Jennifer Alene Keith

• Psychiatric/Mental Health Nurse Practitioner in Newport News, VA
• Providers in Newport News, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.