Individual provider Active NPI

Corinna Maria Keenmon, M.D.

  • Psychiatry Physician
  • Bellaire, TX
National Provider Identifier
1396984795
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P7480 Issued in TX
Practice address
4545 Bissonnet St
Suite Number 271
Bellaire, TX 77401-3000
Phone
(713) 795-4441
Fax
(713) 795-5034
NPI assigned
Feb 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 44310 TX
Geriatric Psychiatry Physician 2084P0805X P7480 TX
Psychiatry Physician 2084P0800X P7480 TX Primary
Psychiatry Physician 2084P0800X A116957 CA

Addresses

Primary practice location

4545 Bissonnet St
Suite Number 271
Bellaire, TX 77401-3000

Mailing address

4545 Bissonnet St
Suite Number 271
Bellaire, TX 77401-3000
Phone (713) 795-4441

Other identifiers 3

IdentifierTypeStateIssuer
BP10028757OtherTXTEXAS MEDICAL BOARD
P7480OtherTXTEXAS MEDICAL BOARD
A116957OtherCATHE MEDICAL BOARD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116957CAMDPsychiatry Physician
44310TXMDGeriatric Psychiatry Physician

Interoperability endpoints

  • Direct secure messaging: ckeenmon30788@directhoustonmethodist.org

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1396984795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 BISSONNET ST",
            "address_2": "SUITE NUMBER 271",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013000",
            "telephone_number": "713-795-4441",
            "fax_number": "713-795-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 BISSONNET ST",
            "address_2": "SUITE NUMBER 271",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013000",
            "telephone_number": "713-795-4441",
            "fax_number": "713-795-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENMON",
        "first_name": "CORINNA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2025-07-23",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "44310",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "P7480",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P7480",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A116957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "BP10028757",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "P7480",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A116957",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.