Active NPI
Keelan O'Connell, M.D.
- Child & Adolescent Psychiatry Physician
- San Diego, CA
National Provider Identifier
1518320266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 77842
- Practice address
- Mitscher Way BLDG #2258
San Diego, CA 92145-0004 - Phone
- (858) 307-1011
- NPI assigned
- Mar 31, 2016
- Last updated
- Jun 22, 2026
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518320266 | Other | NPI |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77842 | NE | MD | Child & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.