Active NPI
Therese Marie Keeling, MD
- Psychiatry Physician
- New Albany, IN
National Provider Identifier
1104985605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01043542
- Practice address
- 4925 Charlestown Rd
New Albany, IN 47150-9426 - Phone
- (812) 941-9200
- Fax
- (812) 941-9205
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 27462 | KY | |
| Psychiatry Physician | 2084P0800X | 01043542 | IN | Primary |
Addresses
Primary practice location
4925 Charlestown Rd
New Albany, IN 47150-9426
Mailing address
4925 Charlestown Rd
New Albany, IN 47150-9426
Phone (812) 941-9200
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01043542 | IN | MD | Psychiatry Physician |
| 27462 | KY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courtland, LLC | Psychiatry | 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": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1104985605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4925 CHARLESTOWN RD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509426",
"telephone_number": "812-941-9200",
"fax_number": "812-941-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 CHARLESTOWN RD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509426",
"telephone_number": "812-941-9200",
"fax_number": "812-941-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELING",
"first_name": "THERESE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "27462",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01043542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.