Individual provider Active NPI

Keelan O'Connell, M.D.

  • Child & Adolescent Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1518320266
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
77842 Issued in NE
Practice address
Mitscher Way BLDG #2258
San Diego, CA 92145-0004
Phone
(858) 307-1011
NPI assigned
Mar 31, 2016
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30394 NE
Child & Adolescent Psychiatry Physician 2084P0804X 77842 NE Primary

Addresses

Primary practice location

Mitscher Way BLDG #2258
San Diego, CA 92145-0004

Mailing address

PSC 819 Box 18
Fpo Ae 09645
Rota, CADIZ 11530
ES

Other practice location 1

PSC 819 Box 18
Fpo Ae 09645
Rota, Cadiz 11530
ES

Other identifiers 1

IdentifierTypeStateIssuer
1518320266OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77842NEMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1518320266",
    "addresses": [
        {
            "country_code": "ES",
            "country_name": "Spain",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PSC 819 BOX 18",
            "address_2": "FPO AE 09645",
            "city": "ROTA",
            "state": "CADIZ",
            "postal_code": "11530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MITSCHER WAY BLDG #2258",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921450004",
            "telephone_number": "858-307-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PSC 819 BOX 18",
            "address_2": "FPO AE 09645",
            "address_purpose": "LOCATION",
            "city": "Rota",
            "state": "Cadiz",
            "postal_code": "11530",
            "country_code": "ES",
            "country_name": "Spain",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "KEELAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "30394",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NE",
            "license": "77842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518320266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.