Organization Active NPI

Warren D Keller PHD LLC

  • Clinical Psychologist
  • Naples, FL
National Provider Identifier
1871175836
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WARREN D KELLER PHD LLC
Practice address
501 Goodlette Rd Ste B206
Naples, FL 34102-5473
Phone
(716) 695-2032
NPI assigned
Apr 28, 2021
Last updated
Apr 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Deborah Newberry
Title
Business Manager
Phone
(716) 695-2032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

501 Goodlette Rd Ste B206
Naples, FL 34102-5473

Mailing address

501 Goodlette Rd Ste B206
Naples, FL 34102-5473
Phone (716) 695-2032

National Provider Directory

National Provider Directory

Locations

1048 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 307-4708

501 Goodlette Rd
Ste B206
Naples, FL 34102
Phone (239) 331-8169

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1871175836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GOODLETTE RD STE B206",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025473",
            "telephone_number": "716-695-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GOODLETTE RD STE B206",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025473",
            "telephone_number": "716-695-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN D KELLER PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "716-695-2032"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.