Deane M Kelley, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

883 Issued in LA

Practice address

8403 Willow St
New Orleans, LA 70118-1339

Phone

(504) 319-5476

Fax

(504) 301-2190

NPI assigned

Mar 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sara Mayo Healthcare Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Orleans, LA
  • NPI 1760436703
  NPD (past)
• Clark Psychological & Consultation PC

  • Psychologist
  • Lufkin, TX
  • NPI 1841284155
  NPD (past)

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720117187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 ROOSEVELT PL",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701193823",
            "telephone_number": "504-301-2190",
            "fax_number": "504-301-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 WILLOW ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701181339",
            "telephone_number": "504-319-5476",
            "fax_number": "504-301-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DEANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGIST",
            "identifier": "211040",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124869",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGIST",
            "identifier": "283194",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGIST",
            "identifier": "G6251",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrice Rolland Keller
• Richard A Keller, MD
• William Joseph Keller, ATC, LAT
• Marshall Joseph Kellerman
• Anna Kelley, PSY.D.
• Eusebia Kelley
• Gregory Vincent Kelley, RN, LPC
• Melissa Kelley
• Tyesha Dantrell Kelley, LMSW
• Alexis Kelly, BCAT

• Clinical Psychologist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.