Active NPI
Maureen Keaveny, PH.D.
- Psychologist
- Tempe, AZ
National Provider Identifier
1669912960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4826
- Practice address
- 9855 S Priest Dr Ste 102
Tempe, AZ 85284-3605 - Phone
- (480) 430-6346
- NPI assigned
- Mar 6, 2017
- Last updated
- Feb 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 4826 | AZ | |
| Clinical Psychologist | 103TC0700X | 4826 | AZ | |
| Health Psychologist | 103TH0004X | 4826 | AZ | |
| Psychologist | 103T00000X | 4826 | AZ | Primary |
Addresses
Primary practice location
9855 S Priest Dr Ste 102
Tempe, AZ 85284-3605
Mailing address
9855 S Priest Dr Ste 102
Tempe, AZ 85284-3605
Phone (480) 430-6346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Organizations & group practices 1
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.
-
- Psychologist
- Tempe, AZ
- NPI 1689114878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1669912960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9855 S PRIEST DR STE 102",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843605",
"telephone_number": "480-430-6346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9855 S PRIEST DR STE 102",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843605",
"telephone_number": "480-430-6346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEAVENY",
"first_name": "MAUREEN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-06",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "AZ",
"license": "4826",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4826",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "AZ",
"license": "4826",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "4826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
- Linda Kavera
- Joel Juuko Kayondo I
- KC Global Enterprises (Integrative Psychiatric Services)
- KD Chiropractic LLC (Whiterock Chiropractic)
- KD Healthcare LLC (White Rock Health Care)
- Erin Keena
- Anna Kingsley Keenan, MA,BCBA
- Tyler Michael Kees I, MS, LAC
- Rondeanna Keevama
- Keira Widmer (Seed Center for Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.