Active NPI
John Aloysius Keefe, PH.D.
- Clinical Psychologist
- Bangor, ME
National Provider Identifier
1205972882
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 19, 2013.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 510
- Practice address
- 82 Columbia St
Suite 301
Bangor, ME 04401-6357 - Phone
- (207) 299-8060
- Fax
- (207) 990-3065
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 510 | ME | Primary |
Addresses
Primary practice location
82 Columbia St
Suite 301
Bangor, ME 04401-6357
Mailing address
82 Columbia St
Suite 301
Bangor, ME 04401-6357
Phone (207) 299-8060
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 510 | ME | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205972882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 COLUMBIA ST",
"address_2": "SUITE 301",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016357",
"telephone_number": "207-299-8060",
"fax_number": "207-990-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 COLUMBIA ST",
"address_2": "SUITE 301",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016357",
"telephone_number": "207-299-8060",
"fax_number": "207-990-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEFE",
"first_name": "JOHN",
"middle_name": "ALOYSIUS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.