Nancy J. Keogh, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3302 Issued in OH

Practice address

33 North Ave
Tallmadge, OH 44278-1925

Phone

(330) 633-7083

Fax

(330) 665-8229

NPI assigned

Oct 27, 2006

Last updated

Nov 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Behavioral Health Group, Inc.

  • Psychiatry Physician
  • Fairlawn, OH
  • NPI 1184710394
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1467538900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 MEDINA RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332483",
            "telephone_number": "330-665-8225",
            "fax_number": "330-665-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 NORTH AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781925",
            "telephone_number": "330-633-7083",
            "fax_number": "330-665-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOGH",
        "first_name": "NANCY",
        "middle_name": "J.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTER OF HEALTHCARE PROVIDERS IN PSYCHOLOGY",
            "identifier": "33537",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0996123   PIN0434",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis Marie Kazimer, P.A.-C.
• Kelly C. Alexander, DDS, LLC
• Jason Kelty, D.P.M.
• Emily Kendall, M.ED., ED.S.
• Brook Kendra
• Deborah Kern, P.T.
• Kallie Mae Kerr
• Kristen A Kerr
• Saurav Khatiwada
• Paulette Kinnan, OTR/L

• Psychologist in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.