Christopher Joseph Keller, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019744 Issued in NY

Practice address

5820 Main St
Suite 204
Williamsville, NY 14221-5776

Phone

(716) 634-2538

NPI assigned

Oct 8, 2012

Last updated

Jan 22, 2015By 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 NY

Eligible to order & refer

• Part B services: Yes
• 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

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Keller Psychological Services, P.C.

  • Clinical Psychologist
  • Amherst, NY
  • NPI 1780078386
  Medicare reassignment NPD Authorized official
• Faye E Taber Nurse Practitioner in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1710307251
  NPD

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1639421209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 MAIN ST",
            "address_2": "SUITE 204",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 MAIN ST",
            "address_2": "SUITE 204",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215776",
            "telephone_number": "716-634-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-08",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyaya Kelkar, LMT
• Shelby Joan Kelkenberg, FNP
• Mary Kell, LPN
• Heather Kelleher, RDN, CDN
• Brittany Keller, L.P.N.
• Craig Edward Keller, M.D.
• Kristine Keller, LPN
• Margaret Ann Keller, LPN
• Warren D Keller, PH.D.
• Linda Kelley, RN

• Clinical Psychologist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.