Individual provider Active NPI

Ann Marie O'Keefe, PH.D.

  • Forensic Psychologist
  • Dorchester, MA
National Provider Identifier
1518040153
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
10706 Issued in MA
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

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
10706MAMDPhysical 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.

Verify at the official NPI Registry.