Individual provider Active NPI

Cindy Jean Keeran, PH.D.

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1104231786
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
103571 Issued in NM
Practice address
3228 Los Arboles Ave NE
BLDG. a. Suite 200
Albuquerque, NM 87107-1962
Phone
(505) 249-1374
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 103571 NM Primary

Addresses

Primary practice location

3228 Los Arboles Ave NE
BLDG. a. Suite 200
Albuquerque, NM 87107-1962

Mailing address

8830 Keeran LN NE
Albuquerque, NM 87122-3782
Phone (505) 249-1374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 6, 2026 through Jul 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
103571NMMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Cynthia Keeran, PH.D., Inc Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1104231786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 KEERAN LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223782",
            "telephone_number": "505-249-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 LOS ARBOLES AVE NE",
            "address_2": "BLDG. A. SUITE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071962",
            "telephone_number": "505-249-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEERAN",
        "first_name": "CINDY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "103571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.