Organization Active NPI

Keller Simon Healthcare & Associates, LLC

  • Psychiatry Physician
  • Plantation, FL
National Provider Identifier
1326389131
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KELLER SIMON HEALTHCARE & ASSOCIATES, LLC
Practice address
7469 NW 4TH St
Plantation, FL 33317-2216
Phone
(954) 792-0772
Fax
(954) 792-1221
NPI assigned
Mar 5, 2013
Last updated
Feb 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Dr. Nathaniel Keller, M.D.
Title
President
Phone
(954) 792-0772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X FL Primary

Addresses

Primary practice location

7469 NW 4TH St
Plantation, FL 33317-2216

Mailing address

7469 NW 4TH St
Plantation, FL 33317-2216
Phone (954) 792-0772

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1326389131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7469 NW 4TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172216",
            "telephone_number": "954-792-0772",
            "fax_number": "954-792-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7469 NW 4TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172216",
            "telephone_number": "954-792-0772",
            "fax_number": "954-792-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER SIMON HEALTHCARE & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-792-0772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.