Individual provider Active NPI

Jane Eleanor Keat, PSY.D.

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1164851184
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9884 Issued in MA
Practice address
55 Mount Pleasant St # 1
Cambridge, MA 02140-2613
Phone
(781) 434-9978
NPI assigned
Nov 12, 2013
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 9884 MA Primary

Addresses

Primary practice location

55 Mount Pleasant St # 1
Cambridge, MA 02140-2613

Mailing address

55 Mount Pleasant St # 1
Cambridge, MA 02140-2613
Phone (781) 434-9978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Oct 1, 2018 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9884MAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1164851184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MOUNT PLEASANT ST # 1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402613",
            "telephone_number": "781-434-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MOUNT PLEASANT ST # 1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402613",
            "telephone_number": "781-434-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAT",
        "first_name": "JANE",
        "middle_name": "ELEANOR",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.