Terry Martin Keady

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

914 Mission Ave
3Rd Floor
San Rafael, CA 94901-6106

Phone

(415) 457-6964

NPI assigned

Jan 12, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Buckelew Programs

  • Exclusive Provider Organization
  • San Rafael, CA
  • NPI 1770783193
  NPD (past)

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1346487436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 HANSEN CT",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723233",
            "telephone_number": "707-824-9127",
            "fax_number": "707-823-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 MISSION AVE",
            "address_2": "3RD FLOOR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949016106",
            "telephone_number": "415-457-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEADY",
        "first_name": "TERRY",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Ruth Kauffman
• Alan Kaufman, L.C.S.W.
• Kimball Charles Kaufman, DDS
• Jatindur Kaur, RN
• Sarah Kay
• Dominique Keane-Cawrse
• Suraya Susana Keating, MFT
• Alyssa Keeney-Roe, PT, MS
• Kimberlie Keller, DO
• Robert W. Keller

• Day Training/Habilitation Specialist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.