Keith Walter Eble, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 5825 Issued in FL

Practice address

1385 26TH CT SW
Vero Beach, FL 32962-6041

Phone

(772) 205-9691

NPI assigned

Nov 1, 2006

Last updated

Aug 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

West Virginia University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1558449934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 26TH CT SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329626041",
            "telephone_number": "772-205-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 26TH CT SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329626041",
            "telephone_number": "772-205-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBLE",
        "first_name": "KEITH",
        "middle_name": "WALTER",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 5825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Coast Clinical Services Inc
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• Charles Eugene Eberhart, M.D.
• Betsy Jo Eberts, LMT
• Brian Richard Eddy, APRN
• Teryn Edgar
• Christopher Edgecombe, RBT
• Edward Murphy MD PA
• Edward S Branigan III, MD PA (Vero Eye Center)

• Psychologist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.