Denzel Special Keepers LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

DENZEL SPECIAL KEEPERS LLC

Practice address

12681 E 79TH St
Indianapolis, IN 46236-8536

Phone

(317) 722-7377

Fax

(701) 786-7344

NPI assigned

May 19, 2026

Organization subpart

No

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

Authorized official

Name

Dina Kelly, KELLY

Title

Owner

Phone

(317) 722-7377

Specialties & licenses 1

Addresses

Tax ID family

Denzel Special Keepers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Denzel Special Keepers LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Indianapolis, IN
  • NPI 1124894407
  NPD tax ID

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1538099015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12681 E 79TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368536",
            "telephone_number": "317-722-7377",
            "fax_number": "701-786-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12681 E 79TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368536",
            "telephone_number": "317-722-7377",
            "fax_number": "701-786-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENZEL SPECIAL KEEPERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-722-7377",
        "authorized_official_credential": "KELLY"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentistryone of Indiana PC
• Drew Lindsey Denton, M.S.
• Mike J Denton, CMFT CADAC
• Robert David Denyer, CAA
• Denzel Special Keepers LLC
• Alicia C Deogracias-Schleich, PHD
• Ruby M Deoleo Pierre, FNP
• Edson Deoliveira, MD
• Kari Deoliveira
• Department of Veterans Affairs

• Intellectual & Developmental Disabilities Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Intellectual & Developmental Disabilities Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.