Individual provider Active NPI

Pat M Alford-Keating, PH.D.

  • Psychologist
  • Redondo Beach, CA
National Provider Identifier
1154677268
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 13073 Issued in CA
Practice address
1840 S Elena Ave
Suite 207
Redondo Beach, CA 90277-5703
Phone
(310) 798-5289
Fax
(310) 798-5289
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 13073 CA Primary

Addresses

Primary practice location

1840 S Elena Ave
Suite 207
Redondo Beach, CA 90277-5703

Mailing address

1840 S Elena Ave
Suite 207
Redondo Beach, CA 90277-5703
Phone (310) 798-5289

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 13073CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1154677268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 S ELENA AVE",
            "address_2": "SUITE 207",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775703",
            "telephone_number": "310-798-5289",
            "fax_number": "310-798-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S ELENA AVE",
            "address_2": "SUITE 207",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775703",
            "telephone_number": "310-798-5289",
            "fax_number": "310-798-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFORD-KEATING",
        "first_name": "PAT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 13073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.