Individual provider Active NPI

Keith Westerfield, PHD, MP

  • Prescribing (Medical) Psychologist
  • Zachary, LA
National Provider Identifier
1376866848
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
301066 Issued in LA
Practice address
6351 Main St
Zachary, LA 70791-4038
Phone
(225) 306-2055
NPI assigned
Mar 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 013247 NY
Clinical Child & Adolescent Psychologist 103TC2200X 013247 NY
Prescribing (Medical) Psychologist 103TP0016X 301066 LA Primary
Psychoanalysis Psychologist 103TP0814X 013247 NY

Addresses

Primary practice location

6351 Main St
Zachary, LA 70791-4038

Mailing address

30575 Old Baton Rouge Highway
Albany, LA 70711-3902
Phone (225) 306-2055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190401001041 LA Practitioner - Clinical Psychologist 8921123563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Delta Human Services AuthorityGroup PAC ID 2961726005, 19 clinicians

Practice addresses (Care Compare)

4800 S Grand St
Monroe, LA 71202-6412
Phone (318) 362-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Delta Human Services Authority Current Accepting new patients
Northeast Delta Human Services Authority CurrentSince Oct 15, 2019 Accepting new patients
Northeast Delta Human Services Authority CurrentSince Oct 15, 2019 Accepting new patients

Locations

451 E Madison Ave
Bastrop, LA 71220
Phone (318) 283-0868

5159 Highway 4 E
Columbia, LA 71418
Phone (318) 649-2333

4800 S Grand St
Monroe, LA 71202
Phone (318) 362-3339

2513 Ferrand St
Monroe, LA 71201
Phone (318) 362-3270

901 White St
Ruston, LA 71270
Phone (318) 251-4125

1012 Johnson St
Tallulah, LA 71282
Phone (318) 574-1713

1301 Landis St
#B
Winnsboro, LA 71295
Phone (318) 435-2146

Interoperability endpoints

  • Direct secure messaging: keith.westerfield@shchc.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1376866848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30575 OLD BATON ROUGE HIGHWAY",
            "city": "ALBANY",
            "state": "LA",
            "postal_code": "707113902",
            "telephone_number": "225-306-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 MAIN ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914038",
            "telephone_number": "225-306-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERFIELD",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PHD, MP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013247",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "013247",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "301066",
            "primary": true
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "013247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.