Lisa Tate-Keyser, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

530 Issued in WV

Practice address

218 D St
South Charleston, WV 25303-3104

Phone

(304) 720-3835

Fax

(304) 720-3836

NPI assigned

Aug 25, 2015

Sex

Female

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

Enrolled in WV

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Charleston Area Medical Center, Inc.

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1124248752
  Medicare reassignment Care Compare group NPD
• Huntington Hospitalist Group Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington, WV
  • NPI 1124695721
  NPD
• Charleston Area Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Belpre, OH
  • NPI 1588422547
  NPD

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1134596281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 D ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253033104",
            "telephone_number": "304-720-3835",
            "fax_number": "304-720-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 D ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253033104",
            "telephone_number": "304-720-3835",
            "fax_number": "304-720-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE-KEYSER",
        "first_name": "LISA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Leigh Takubo, PA-C
• Genette Tallman
• Paula Jean Tallman
• William L. Tanzey II, RETIRED LPC
• Muhib Shukri Tarakji, MD
• Taylor Eye Associates, PLLC
• Dorethea L Taylor-Henshaw, RN
• Christina Lynn Taylor
• Emily Taylor
• Hailey Grace Taylor

• Psychologist in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.