Edward Barry Keehn, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

22069 Issued in CA

Practice address

351 Santa Fe Dr Ste 200
Encinitas, CA 92024-5137

Phone

(858) 279-1223

NPI assigned

Sep 6, 2007

Last updated

Oct 4, 2024By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1801081567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SANTA FE DR STE 200",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SANTA FE DR STE 200",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245137",
            "telephone_number": "858-279-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1337 Camino Del Mar",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Del Mar",
            "state": "CA",
            "postal_code": "920142504",
            "country_code": "US",
            "telephone_number": "310-362-7670",
            "fax_number": "888-807-9301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEHN",
        "first_name": "EDWARD",
        "middle_name": "BARRY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "22069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Kay, DMD, MS
• Kaya Mental Health & Wellness, a Nursing Professional Corporation
• Debbie Kayton
• Michele Manetta Kazmier, CNM, MS, ARNP
• Adelina Maria Kazmierowicz, M.A.
• Danielle Ashley Keenan, FNP-C
• Steven Keener, DC
• Keeran Kumar MD Inc
• Jeffrey Kegler, PT
• Kimberly Kehoe-Brown, ARNP

• Psychologist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.