Michelle Anne Keiski, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

20042607A Issued in IN

Practice address

355 W 16TH St Ste 4700
Indianapolis, IN 46202-2285

Phone

(317) 963-7514

NPI assigned

Apr 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417824000000",
    "number": "1215101696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 REUNION LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503921",
            "telephone_number": "317-956-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W 16TH ST STE 4700",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022285",
            "telephone_number": "317-963-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISKI",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2014-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20042607A",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Keirn, PA-C
• Jennifer M Keirn
• Shelly R Keiser, PHARM.D.
• Dianna M Keiserman, PA
• Wayne M Keiserman, M.D.
• Nafissatou Keita
• Ramatoulaye Keita
• Kelsee Keitel, MS ED, LMHCA, NCC
• Mary Ellen Keith
• Kel Corp Dba Home Instead Senior Care

• Clinical Neuropsychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Neuropsychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; 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.