Active NPI
Amber Keroles, PSYD
- Psychologist
- Fremont, CA
National Provider Identifier
1124708177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34383
- Practice address
- 39650 Liberty St Ste 140
Fremont, CA 94538-2225 - Phone
- (510) 498-2086
- NPI assigned
- Jul 24, 2023
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 34383 | CA | Primary |
| Clinical Psychologist | 103TC0700X | 34383 | CA |
Addresses
Primary practice location
39650 Liberty St Ste 140
Fremont, CA 94538-2225
Mailing address
2640 White Oak Cir Ste C
Aurora, IL 60502-4809
Other practice location 1
725 Welch Rd
Palo Alto, CA 94304
Phone (800) 516-0975
Other names 1
- Amber Hardee
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 |
|---|---|---|---|
| 34383 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Roots Psychiatric Services PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Glendale, CA
- NPI 1457016560
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1124708177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 WHITE OAK CIR STE C",
"city": "AURORA",
"state": "IL",
"postal_code": "605024809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39650 LIBERTY ST STE 140",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382225",
"telephone_number": "510-498-2086"
}
],
"practiceLocations": [
{
"address_1": "725 Welch Rd",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "94304",
"country_code": "US",
"telephone_number": "800-516-0975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEROLES",
"first_name": "AMBER",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "34383",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "34383",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "HARDEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.