Jason Keller, Psy.D., PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1548 Issued in KY

Legal business name

JASON KELLER, PSY.D., PLLC

Practice address

1512 Crums LN
Suite 305
Louisville, KY 40216-3861

Phone

(502) 322-4884

NPI assigned

Oct 6, 2010

Last updated

Oct 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Keller, PSY.D.NPI 1407939473

Title

Director

Phone

(502) 322-4884

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Keller, PSY D

  • Psychologist
  • Louisville, KY
  • NPI 1407939473
  Authorized official Same address or phone

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1417266578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 CRUMS LN",
            "address_2": "SUITE 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163861",
            "telephone_number": "502-322-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 CRUMS LN",
            "address_2": "SUITE 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163861",
            "telephone_number": "502-322-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON KELLER, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "502-322-4884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1548",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Marie Jarvis, APRN
• Nathaniel Jarvis, PHARMD
• Patrick M Jarvis, M.D.
• Megan D Jarzomkowski-Wade, APRN
• Cheryl A Jarzomkowski, APRN-NP
• Kavya Jasti
• Justin Jatczak
• Celia R. Javadi, LSW, LCDC-III, PCC
• Asad Hassan Javed, M.D.
• Jessica Javed, MD

• Clinical Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.