Active NPI
James Edwin McKeever, PH.D.
- Clinical Psychologist
- Bainbridge Island, WA
National Provider Identifier
1043331226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1300
- Practice address
- 345 Knechtel Way NE
Suite 111
Bainbridge Island, WA 98110-2860 - Phone
- (206) 842-9949
- Fax
- (206) 780-0824
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1300 | WA | |
| Clinical Psychologist | 103TC0700X | 1300 | WA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1300 | WA |
Addresses
Primary practice location
345 Knechtel Way NE
Suite 111
Bainbridge Island, WA 98110-2860
Mailing address
345 Knechtel Way NE
Suite 111
Bainbridge Island, WA 98110-2860
Phone (206) 842-9949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1300 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital & Regional Medical Center 2 | Past | Accepting new patients |
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.
-
- Children's Hospital
- Seattle, WA
- NPI 1083789630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1043331226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 KNECHTEL WAY NE",
"address_2": "SUITE 111",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102860",
"telephone_number": "206-842-9949",
"fax_number": "206-780-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 KNECHTEL WAY NE",
"address_2": "SUITE 111",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102860",
"telephone_number": "206-842-9949",
"fax_number": "206-780-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEEVER",
"first_name": "JAMES",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WA",
"license": "1300",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "1300",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WA",
"license": "1300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.