Maureen Keaveny, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4826 Issued in AZ

Practice address

9855 S Priest Dr Ste 102
Tempe, AZ 85284-3605

Phone

(480) 430-6346

NPI assigned

Mar 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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": []
}

• Claudia Kauffman
• Joel Juuko Kayondo I
• KC Global Enterprises
• KD Chiropractic LLC
• KD Healthcare LLC
• Erin Keena
• Anna Kingsley Keenan, MA,BCBA
• Tyler Michael Kees I, MS, LAC
• Rondeanna Keevama
• Keira Widmer

• Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychologist in Arizona

• 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.

Verify at the official NPI Registry.