Gary Aron Keller, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042-0007276 Issued in VT

Practice address

86 Lake St
Burlington, VT 05401-5297

Phone

(802) 865-3450

Fax

(802) 860-5011

NPI assigned

Sep 14, 2006

Last updated

Jul 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1981

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Vermont Catholic Charities, IncGroup PAC ID 9638232457, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Vermont Catholic Charities, Inc

  • Voluntary or Charitable Agency
  • South Burlington, VT
  • NPI 1811068661
  Medicare reassignment Care Compare group NPD
• Azimuth Counseling & Therapeutic Services, Inc.

  • Counselor
  • Essex Junction, VT
  • NPI 1821116633
  NPD (past)
• Loretto-Kervick Homes

  • Adult Care Home Facility
  • Rutland, VT
  • NPI 1477664530
  NPD (past)
• Loretto-Kervick Homes

  • Adult Care Home Facility
  • Rutland, VT
  • NPI 1558465856
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1316042963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 LAKE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015297",
            "telephone_number": "802-865-3450",
            "fax_number": "802-860-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 LAKE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015297",
            "telephone_number": "802-865-3450",
            "fax_number": "802-860-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "GARY",
        "middle_name": "ARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0007276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002497",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Lewis Keith, PH.D.
• William A. Keithcart, MA, LADC
• Julie Anne Kelbert, CRNA
• Erin Kellar, MS, AAP
• Barbara Keller, LCMHC
• Marc I Keller, M.D,
• Ray Eugene Keller, M.D.
• Sheryl Peterson Keller, MD
• Kyle James Kellett
• Brian Kelley, APRN-BC,MSN

• Psychiatry Physician in Burlington, VT
• Providers in Burlington, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.