Keeley Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KEELEY PSYCHIATRY LLC

Practice address

33 W Franklin St Ste 201
Hagerstown, MD 21740-4863

Phone

(240) 200-0961

Fax

(240) 201-3033

NPI assigned

Jul 15, 2020

Organization subpart

No

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

Authorized official

Name

Shannon Jean SozziNPI 1538578232

Title

Owner

Phone

(864) 399-3838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Jean Sozzi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, SC
  • NPI 1538578232

  MD, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1104434281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W FRANKLIN ST STE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404863",
            "telephone_number": "240-200-0961",
            "fax_number": "240-201-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W FRANKLIN ST STE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404863",
            "telephone_number": "240-200-0961",
            "fax_number": "240-201-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEELEY PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "SOZZI",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-399-3838"
    },
    "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": []
}

• Nora Katerji, M.D
• Emily C Kaufman, LGSW
• Erick Kawegere, MD
• Karen Kays, LMSW
• Matthew Louis Kearney, P.A.-C
• Eryn Keenan
• Pavara Keeney, CRNA
• Keep Exploring Yourself, LLC
• Hailey Kegarise
• Jennifer Keilholtz

• All providers in Hagerstown, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.