Active NPI
Ann Marie O'Keefe, PH.D.
- Forensic Psychologist
- Dorchester, MA
National Provider Identifier
1518040153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 10706
- Practice address
- BMC Dorchester Division, Court Clinic
510 Washington St
Dorchester, MA 02124 - Phone
- (617) 288-9500
- Fax
- (617) 288-2360
- NPI assigned
- Oct 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10706 | MA | |
| Forensic Psychologist | 103TF0200X | 10706 | MA | Primary |
Addresses
Primary practice location
BMC Dorchester Division, Court Clinic
510 Washington St
Dorchester, MA 02124
Mailing address
BMC Dorchester Division, Court Clinic
510 Washington St
Dorchester, MA 02124
Phone (617) 288-9500
Other practice location 1
16350 Filbert St
Mental Health
Sylmar, CA 91342-1002
Phone (818) 364-2152
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10706 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1518040153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BMC DORCHESTER DIVISION, COURT CLINIC",
"address_2": "510 WASHINGTON ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "02124",
"telephone_number": "617-288-9500",
"fax_number": "617-288-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BMC DORCHESTER DIVISION, COURT CLINIC",
"address_2": "510 WASHINGTON ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "02124",
"telephone_number": "617-288-9500",
"fax_number": "617-288-2360"
}
],
"practiceLocations": [
{
"address_1": "16350 Filbert St",
"address_2": "Mental Health",
"address_purpose": "LOCATION",
"city": "Sylmar",
"state": "CA",
"postal_code": "913421002",
"country_code": "US",
"telephone_number": "818-364-2152",
"fax_number": "818-362-3446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'KEEFE",
"first_name": "ANN MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10706",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "10706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.