Active NPI
Jessica Keefe, ED.S
- School Psychologist
- Virginia Beach, VA
National Provider Identifier
1639652977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- PGP-0621984
- Practice address
- 642 Carriage Hill Road
Virginia Beach, VA 23452 - Phone
- (757) 263-2700
- Fax
- (757) 493-5437
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | PGP-0621984 | VA | Primary |
Addresses
Primary practice location
642 Carriage Hill Road
Virginia Beach, VA 23452
Mailing address
642 Carriage Hill Road
Virginia Beach, VA 23452
Phone (757) 263-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PGP-0621984 | Other | VA | DEPARTMENT OF EDUCATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PGP-0621984 | VA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1639652977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 CARRIAGE HILL ROAD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23452",
"telephone_number": "757-263-2700",
"fax_number": "757-493-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 CARRIAGE HILL ROAD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23452",
"telephone_number": "757-263-2700",
"fax_number": "757-493-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEFE",
"first_name": "JESSICA",
"credential": "ED.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "PGP-0621984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF EDUCATION",
"identifier": "PGP-0621984",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.