Organization Active NPI

Edward Barry Keehn PHD

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1760716997
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22069 Issued in CA
Legal business name
EDWARD BARRY KEEHN PHD
Practice address
221 S Euclid Ave
Pasadena, CA 91101-2717
Phone
(626) 578-9565
Fax
(626) 578-9517
NPI assigned
Sep 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Dr. Edward Barry Keehn, PSYD
Title
Owner
Phone
(310) 985-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 22069 CA Primary

Addresses

Primary practice location

221 S Euclid Ave
Pasadena, CA 91101-2717

Mailing address

1447 S Canfield Ave
Los Angeles, CA 90035-3224
Phone (310) 985-9004

Other identifiers 1

IdentifierTypeStateIssuer
22069OtherCALICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1760716997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 S CANFIELD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353224",
            "telephone_number": "310-985-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S EUCLID AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012717",
            "telephone_number": "626-578-9565",
            "fax_number": "626-578-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD BARRY KEEHN PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "KEEHN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-985-9004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "22069",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.