Active NPI
Robert J Keane, PH.D.
- Clinical Social Worker
- Lexington, MA
National Provider Identifier
1295992584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1017867
- Practice address
- 186 Bedford St
Lexington, MA 02420-4436 - Phone
- (781) 734-2045
- NPI assigned
- May 22, 2008
- Last updated
- May 22, 2008
- 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 Social Worker | 1041C0700X | 1017867 | MA | Primary |
Addresses
Primary practice location
186 Bedford St
Lexington, MA 02420-4436
Mailing address
8 Evans Ave
Bedford, MA 01730-2123
Phone (781) 275-8796
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1017867 | MA | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1295992584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 EVANS AVE",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017302123",
"telephone_number": "781-275-8796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 BEDFORD ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024204436",
"telephone_number": "781-734-2045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEANE",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1017867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.