Individual provider Active NPI

Keith Thomas Foster, PH.D.

  • Psychologist
  • Annapolis, MD
National Provider Identifier
1396728960
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01221 Issued in MD
Practice address
49 Old Solomons Island Rd Ste 200
Annapolis, MD 21401-3864
Phone
(410) 266-8555
Fax
(410) 266-5328
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 01221 MD Primary

Addresses

Primary practice location

49 Old Solomons Island Rd Ste 200
Annapolis, MD 21401-3864

Mailing address

49 Old Solomons Island Rd Ste 200
Annapolis, MD 21401-3864
Phone (239) 293-0057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120712000379 MD Practitioner - Clinical Psychologist 8921993932 Reassigns benefits to 1 organization
I20121025000339 DC Practitioner - Clinical Psychologist 8921993932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

336 Severn Rd
Annapolis, MD 21401-6650

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Keith T Foster PHD PA Psychologist CurrentSince Nov 29, 2011 Accepting new patients
Psychotherapy Services Associates, LLC PastSince Mar 13, 2022 Accepting new patients

Locations

2180 Immokalee Rd
Ste 216
Naples, FL 34110
Phone (239) 287-1493

49 Old Solomons Island Rd
Ste 200
Annapolis, MD 21401
Phone (410) 266-8555

Organizations & group practices 2

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1396728960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 OLD SOLOMONS ISLAND RD STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013864",
            "telephone_number": "239-293-0057",
            "fax_number": "410-266-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OLD SOLOMONS ISLAND RD STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013864",
            "telephone_number": "410-266-8555",
            "fax_number": "410-266-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "KEITH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "01221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.