Active NPI
David Keevil, PSY.D
- Clinical Psychologist
- Concord, MA
National Provider Identifier
1831391242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7456
- Practice address
- 747 Main St Ste 305
Concord, MA 01742-3302 - Phone
- (508) 314-4570
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- 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 | 7456 | MA | Primary |
Addresses
Primary practice location
747 Main St Ste 305
Concord, MA 01742-3302
Mailing address
747 Main St Ste 305
Concord, MA 01742-3302
Phone (508) 314-4570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7456 | Other | MA | PSY.D MA LIC# |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7456 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831391242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 MAIN ST STE 305",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423302",
"telephone_number": "508-314-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 MAIN ST STE 305",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423302",
"telephone_number": "508-314-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEVIL",
"first_name": "DAVID",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSY.D MA LIC#",
"identifier": "7456",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.