Phillip S Keck, PHD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005353 Issued in VA

Legal business name

PHILLIP S KECK, PHD, LLC

Practice address

681 Hioaks Rd Ste E
Richmond, VA 23225-4043

Phone

(804) 420-9189

Fax

(844) 308-5846

NPI assigned

May 16, 2017

Organization subpart

No

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

Authorized official

Name

Phillip Keck, PHD

Title

Director and Ceo

Phone

(804) 640-6848

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568999050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13650",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232258650",
            "telephone_number": "804-640-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 HIOAKS RD STE E",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254043",
            "telephone_number": "804-420-9189",
            "fax_number": "844-308-5846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Forest Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301730",
            "country_code": "US",
            "telephone_number": "804-640-6848",
            "fax_number": "804-640-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 E Main St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232192109",
            "country_code": "US",
            "telephone_number": "804-420-9189",
            "fax_number": "844-308-5846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHILLIP S KECK, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KECK",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "DIRECTOR AND CEO",
        "authorized_official_telephone_number": "804-640-6848",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene R. Pherson, FNP
• Laura Susanne Phieffer, MD
• Rene Philhower, LPT
• Philip Charles Boulanger
• Scott Philips, DDS
• Christina Phillip, MS, OTR/L
• Aidan Phillips, RN
• Andrew Chase Phillips
• Anthony Joseph Phillips, D.P.T.
• Carey Phillips, LMT

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.