Peter William Keelin, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301002813 Issued in MI

Practice address

6300 Sashabaw Rd
Suite D
Clarkston, MI 48346-2269

Phone

(248) 625-7320

Fax

(248) 625-7320

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peter W. Keelin, PH.D., F.L.P., L.L.C.

  • Psychologist
  • Clarkston, MI
  • NPI 1801993985
  NPD (past) Authorized official
• Heron Ridge Associates PLC

  • Counselor
  • Brighton, MI
  • NPI 1144810946

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1275630469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 W BEACH DR",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284657929",
            "telephone_number": "248-625-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SASHABAW RD",
            "address_2": "SUITE D",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462269",
            "telephone_number": "248-625-7320",
            "fax_number": "248-625-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELIN",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002813",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6310002813",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MI",
            "license": "6301002813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Z French, D.O. L.L.C
• Roodi Ghassan-Tobya Katoola
• Kaelyn Kaul
• Vineet Kaul
• Rebecca Jean Keagy, O.D.
• Kenneth Gerald Keener, RPH
• Julie Kehren, SLP
• Eve Kehrer
• Kehres Health and Chiropractic
• Veronica Kelty, RN

• Psychologist in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.