Jessica Anne Keith, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PRE-LICENSURE Issued in FL

Practice address

10000 Bay Pines Boulevard
Bay Pines VA Healthcare System MH&BSS
Bay Pines, FL 33744

Phone

(727) 398-6661

NPI assigned

Sep 16, 2009

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1689907032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BOULEVARD",
            "address_2": "BAY PINES VA HEALTHCARE SYSTEM MH&BSS",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BOULEVARD",
            "address_2": "BAY PINES VA HEALTHCARE SYSTEM MH&BSS",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PRE-LICENSURE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginie Julien-Georges
• James Christopher Justice, PHARMD
• Joseph Daniel Justino, PHARM D, BCPP
• Erich Kalbfell, RRT
• Adam Karwatowicz, MD
• Michael L Kelley, R.N.
• Michael Ryan Kelley, PHARM.D.
• Paige Anne Kelley, PHARM.D.
• John Patrick Kelly, M.D.
• Elizabeth Mae Kemfort, LCSW

• Clinical Psychologist in Bay Pines, FL
• Providers in Bay Pines, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.