Kevin Kenneth Keeran, PHD

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

PSB94027773 Issued in CA

Practice address

5051 Canyon Crest Dr Ste 204
Riverside, CA 92507-6035

Phone

(951) 682-1488

NPI assigned

Sep 19, 2023

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Collaborative Psychology Group, a Professional Corporation

  dba Dr. Tanika Gayle & Clinical Associates

  • Clinical Psychologist
  • Riverside, CA
  • NPI 1336532340
  NPD

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1407634660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41760 IVY ST STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629416",
            "telephone_number": "951-698-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 CANYON CREST DR STE 204",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076035",
            "telephone_number": "951-682-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEERAN",
        "first_name": "KEVIN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSB94027773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen L Keating, D.O.
• Heiba Kebbas
• Tamara Keck
• Kee in Yang (Mission Medical Clinic)
• Melinda Keebaugh
• Leilani Keeter
• Faith Kegley
• Dana Keim
• Keith Turner, M.D. a Professional Corporation
• Tariq A. Kelker, M.D.

• Health Psychologist in Riverside, CA
• Providers in Riverside, CA by specialty
• Health Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.