Active NPI
Alice Keller, L.C.S.W.
- Psychoanalyst
- Nyack, NY
National Provider Identifier
1184928970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 071254-1
- Practice address
- 20 N Broadway
Nyack, NY 10960-2636 - Phone
- (845) 353-3435
- NPI assigned
- Jan 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 071254-1 | NY | Primary |
Addresses
Primary practice location
20 N Broadway
Nyack, NY 10960-2636
Mailing address
20 N Broadway
Nyack, NY 10960-2636
Phone (845) 353-3435
Other names 1
- Alice Alig
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 18, 2022 through Dec 18, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071254-1 | NY | MD | Psychoanalyst |
| 071254 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1184928970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 N BROADWAY",
"city": "NYACK",
"state": "NY",
"postal_code": "109602636",
"telephone_number": "845-353-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N BROADWAY",
"city": "NYACK",
"state": "NY",
"postal_code": "109602636",
"telephone_number": "845-353-3435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "ALICE",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-07",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "071254-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICE",
"last_name": "ALIG",
"credential": "L.C.S.W",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.