David H. Keenan, M.S.W., Ed.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

Legal business name

DAVID H. KEENAN, M.S.W., ED.D.

Practice address

6330 Newtown Rd
Suite 410
Norfolk, VA 23502-4802

Phone

(757) 426-5216

Fax

(757) 426-5217

NPI assigned

Oct 12, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paula T Rodgers

Title

Administrator

Phone

(757) 426-5216

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1154410991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11611",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235170611",
            "telephone_number": "757-426-5216",
            "fax_number": "757-426-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD",
            "address_2": "SUITE 410",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-426-5216",
            "fax_number": "757-426-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H. KEENAN, M.S.W., ED.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-426-5216"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007701969",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Forensic Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Forensic Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.