Active NPI
Keesha Cameron, PHD
- Clinical Psychologist
- Hempstead, NY
National Provider Identifier
1750114393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 025713
- Practice address
- 250 Campus Wellness and Living Ctr
Hempstead, NY 11549-0001 - Phone
- (516) 463-2273
- NPI assigned
- Aug 20, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 025713 | NY | Primary |
Addresses
Primary practice location
250 Campus Wellness and Living Ctr
Hempstead, NY 11549-0001
Mailing address
418 Broadway Ste Y
Albany, NY 12207-2922
Phone (516) 250-7435
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1750114393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 BROADWAY STE Y",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072922",
"telephone_number": "516-250-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CAMPUS WELLNESS AND LIVING CTR",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115490001",
"telephone_number": "516-463-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "KEESHA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "025713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.