Keller Psychological Services, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019744 Issued in NY

Legal business name

KELLER PSYCHOLOGICAL SERVICES, P.C.

Practice address

4955 N Bailey Ave Ste 214
Amherst, NY 14226-1206

Phone

(716) 650-0287

Fax

(716) 970-4470

NPI assigned

Mar 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Joseph Keller, PSYDNPI 1639421209

Title

Owner/Provider

Phone

(716) 450-3934

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Joseph Keller, PSY.D.

  • Clinical Psychologist
  • Williamsville, NY
  • NPI 1639421209
  Medicare reassignment NPD Authorized official
• Faye E Taber, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1932391851
  NPD

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543104000000",
    "number": "1780078386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 N BAILEY AVE STE 214",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261206",
            "telephone_number": "716-650-0287",
            "fax_number": "716-970-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 N BAILEY AVE STE 214",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261206",
            "telephone_number": "716-650-0287",
            "fax_number": "716-970-4470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5820 Main St",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142215776",
            "country_code": "US",
            "telephone_number": "716-634-2538",
            "fax_number": "716-276-9669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KELLER PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2018-11-25",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "716-450-3934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navpreet Kaur, M.D.
• Shannon Marie Kavanagh, R.PH
• Mary Beth Kawaler, LMT
• Katayoun Kazemi, PHARMD, RPH
• Sean E Keating, DPM
• Kristin Leigh Keller, LMHC
• James J Kelly, D.O.
• Joseph Kemp
• Kemps Therapy & Mental Health Wellness
• Kenmore Eye Care Inc.

• Clinical Psychologist in Amherst, NY
• Providers in Amherst, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.