Oliver Keadle Jr., M.S.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

1585 Jonesville Hwy
Union, SC 29379-9790

Phone

(864) 429-3610

NPI assigned

Dec 6, 2012

Last updated

Dec 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SC Department of Juvenile Justice

  • Psychologist
  • Union, SC
  • NPI 1427422583
  NPD (past)

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1538404207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 JONESVILLE HWY",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293799790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 JONESVILLE HWY",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293799790",
            "telephone_number": "864-429-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEADLE",
        "first_name": "OLIVER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utrena Johnson
• Ashley Rose Jolly
• Americia S Jones, SAS
• Meika Denett Jones, MSW
• Kelly Kane, DO
• David Martin Keith, MD
• Dorothy V Keith
• Nazar Kharivskyy, DC
• Whitney Connolly Leary, MSP, CCC-SLP
• Sarah Lewis

• Clinical Child & Adolescent Psychologist in Union, SC
• Providers in Union, SC by specialty
• Clinical Child & Adolescent Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.