Active NPI
Janet Allison Anguas-Keiter, PSY.D.
- Clinical Psychologist
- Orange Park, FL
National Provider Identifier
1467775379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8069
- Practice address
- 165 Wells Rd Ste 303
Orange Park, FL 32073-3036 - Phone
- (904) 264-8311
- NPI assigned
- Mar 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8069 | FL | Primary |
Addresses
Primary practice location
165 Wells Rd Ste 303
Orange Park, FL 32073-3036
Mailing address
165 Wells Rd Ste 303
Orange Park, FL 32073-3036
Phone (904) 264-8311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8069 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267747200000",
"number": "1467775379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 WELLS RD STE 303",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320733036",
"telephone_number": "904-264-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 WELLS RD STE 303",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320733036",
"telephone_number": "904-264-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGUAS-KEITER",
"first_name": "JANET",
"middle_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-05",
"last_updated": "2010-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "8069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.