Michael Keaveny, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005037 Issued in VA

Practice address

530 E Main St Ste 530
Richmond, VA 23219-2431

Phone

(804) 648-0169

Fax

(804) 649-4069

NPI assigned

Nov 7, 2013

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

Opted out of Medicare

Yes, effective Dec 2, 2025 through Dec 2, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467881797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E MAIN ST STE 530",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232192431",
            "telephone_number": "804-648-0169",
            "fax_number": "804-649-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E MAIN ST STE 530",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232192431",
            "telephone_number": "804-648-0169",
            "fax_number": "804-649-4069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15521 Midlothian Tpke",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231137312",
            "country_code": "US",
            "telephone_number": "804-423-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEAVENY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Kean, LPC
• Laura Keane
• Shawna Keane, PHARMD
• Charlene Patten Kearney, LCSW
• Kevin Casey Keating, D.D.S.
• Nyesha A. Keawmanee, M.S., CCC-SLP
• Basma Kebaish, DPT
• Manaye Kebede, MD
• Phillip Keck, PH.D.
• Anne West Keeler, RD

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.