Active NPI
Corey J Keller, MD PHD
- Psychiatry Physician
- Palo Alto, CA
National Provider Identifier
1396122115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A145541
- Practice address
- 401 Quarry Rd
Palo Alto, CA 94304-1419 - Phone
- (802) 578-6262
- NPI assigned
- Apr 30, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A145541 | CA | Primary |
Addresses
Primary practice location
401 Quarry Rd
Palo Alto, CA 94304-1419
Mailing address
401 Quarry Rd
Palo Alto, CA 94304-1419
Phone (802) 578-6262
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A145541 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1396122115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 QUARRY RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041419",
"telephone_number": "802-578-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 QUARRY RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041419",
"telephone_number": "802-578-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "COREY",
"middle_name": "J",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-30",
"last_updated": "2022-05-09",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A145541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.