Active NPI
Warren D Keller, PH.D.
- Psychologist
- Williamsville, NY
National Provider Identifier
1821090648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 07489
- Practice address
- 8175 Sheridan Dr
Ste 200
Williamsville, NY 14221-6002 - Phone
- (716) 634-2600
- Fax
- (716) 634-2675
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 07489 | NY | Primary |
Addresses
Primary practice location
8175 Sheridan Dr
Ste 200
Williamsville, NY 14221-6002
Mailing address
9750 Transit Rd
East Amherst, NY 14051-2124
Phone (716) 636-1375
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07489 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821090648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9750 TRANSIT RD",
"city": "EAST AMHERST",
"state": "NY",
"postal_code": "140512124",
"telephone_number": "716-636-1375",
"fax_number": "716-636-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8175 SHERIDAN DR",
"address_2": "STE 200",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216002",
"telephone_number": "716-634-2600",
"fax_number": "716-634-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "WARREN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "07489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.