Jim R. Keller, PH.D., Specialists in Psychological Counseling & Consul

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

854 Issued in OK

Legal business name

JIM R. KELLER, PH.D., SPECIALISTS IN PSYCHOLOGICAL COUNSELING & CONSUL

Practice address

1800 Renaissance Blvd
2ND Floor
Edmond, OK 73013-3023

Phone

(405) 359-2481

Fax

(405) 359-2487

NPI assigned

Aug 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. James Riley Keller, PH.D.NPI 1437340528

Title

Owner, Psychologist

Phone

(405) 359-2481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Riley Keller, PHD

  • Clinical Psychologist
  • Oklahoma City, OK
  • NPI 1437340528
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1225260565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7083",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730837083",
            "telephone_number": "405-359-2481",
            "fax_number": "405-359-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RENAISSANCE BLVD",
            "address_2": "2ND FLOOR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133023",
            "telephone_number": "405-359-2481",
            "fax_number": "405-359-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM R. KELLER, PH.D., SPECIALISTS IN PSYCHOLOGICAL COUNSELING & CONSUL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RILEY",
        "authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "405-359-2481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "OK",
            "license": "854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L. Plumley, PH.D. PLLC
• Jessica Yocum, MD, PLLC
• Shelby Jester, PA-C
• Alexis Jhanda
• Xue Jiao
• Jim Wallace & Associates, Inc
• Gabrielle Michelle Jimenez, DNP, APRN, FNP-C
• Juan Miguel Jimenez
• Susana Jimenez, PHYSICIAN ASSISTANT
• Jnkynp, LLC.

• Counseling Psychologist in Edmond, OK
• Providers in Edmond, OK by specialty
• Counseling Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.