Ryan Keough

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MF001009 Issued in PA

Practice address

7901 Bustleton Ave Ste 300
Philadelphia, PA 19152-3330

Phone

(215) 537-5367

NPI assigned

Apr 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Center for Families and Relationships

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1164512976
  NPD

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1104561646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S 18TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463051",
            "telephone_number": "856-304-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BUSTLETON AVE STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523330",
            "telephone_number": "215-537-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOUGH",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piar Chris Keo
• Sivoutha Keo
• Thormika Keo, MD PHD
• John Keogh, MD
• Aimee T Keough, LAT, ATC, CSCS
• Kep Life Skills Consulting LLC
• Christopher K. Kepler, M.D.
• Donna Gayhart Keppol, PT
• Keppsake Hospice LLC
• Joel Kerak, DC

• Marriage & Family Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.