Organization Active NPI

Maureen M. Keown, Psy.D., PC

  • Clinical Psychologist
  • Roswell, GA
National Provider Identifier
1154579456
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY002905 Issued in GA
Legal business name
MAUREEN M. KEOWN, PSY.D., PC
Practice address
1115 Upper Hembree Rd
Suite B
Roswell, GA 30076-0913
Phone
(770) 346-9914
Fax
(770) 475-1171
NPI assigned
Aug 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Dr. Maureen M. Keown, PSY.D.
Title
Psychologist
Phone
(770) 346-9914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY002905 GA Primary

Addresses

Primary practice location

1115 Upper Hembree Rd
Suite B
Roswell, GA 30076-0913

Mailing address

1115 Upper Hembree Rd
Suite B
Roswell, GA 30076-0913
Phone (770) 346-9914

National Provider Directory

National Provider Directory

Locations

1115 Upper Hembree Rd
Ste B
Roswell, GA 30076
Phone (770) 346-9914

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1154579456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 UPPER HEMBREE RD",
            "address_2": "SUITE B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760913",
            "telephone_number": "770-346-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 UPPER HEMBREE RD",
            "address_2": "SUITE B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760913",
            "telephone_number": "770-346-9914",
            "fax_number": "770-475-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN M. KEOWN, PSY.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "KEOWN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "770-346-9914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

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