Alex Eve Keller, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

11883 Issued in MA

Practice address

31 Locke Rd
Waban, MA 02468-1415

Phone

(617) 610-0720

NPI assigned

Mar 27, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1487282406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LOCKE RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024681415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 LOCKE RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024681415",
            "telephone_number": "617-610-0720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1493 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021391099",
            "country_code": "US",
            "telephone_number": "617-665-1183",
            "fax_number": "617-665-3449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "729 Boylston St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021162639",
            "country_code": "US",
            "telephone_number": "617-221-6203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ALEX",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "11883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John B. Herman, MD, Psychiatry PLLC
• Kristin Dutcher Jonash
• Gwendolyn Kane-Wanger, MD
• Katie Kaplan, LCSW
• Marlene Susan Katz, APRN BC
• Lydia Kenin, PSYD, LICSW
• Rheta Grenoble Keylor, PH.D.
• Nicole Lemaster, BCBA
• Lois A Levin, PHD
• Ruth Levine Arnold, M.S.

• Clinical Child & Adolescent Psychologist in Waban, MA
• Providers in Waban, MA by specialty
• Clinical Child & Adolescent Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.