DR. PHILLIP KECK (NPI# 1083070536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083070536 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP KECK |
| Credential | PH.D. |
| Practice Address |
1630 Wilkes Ridge Pkwy Ste 105 Richmond VA 23233-7460 |
| Mailing Address |
11350 Mccormick Rd Executive Plaza 1 Ste 501 Hunt Valley MD 21031 |
| Practice Telephone | 8042707262 |
| Practice Fax Number | 8042707264 |
| Mailing Telephone | 7037384331 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810005353 | VA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
0810005353 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1630 WILKES RIDGE PKWY STE 105 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23233-7460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164415964 | Jeffrey J Zuravleff | Ophthalmology | 1630 Wilkes Ridge Pkwy, Suite 102, Richmond, VA 23233-7429 | 2005-08-26 |
| 1912444340 | Stony Point Surgery Center | Clinic/Center | 1630 Wilkes Ridge Pkwy, Suite 101, Richmond, VA 23233-7429 | 2017-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 1346741667 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100, Richmond, VA 23233 | 2018-02-22 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| Find all providers in zip 23233 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1093251936 | Erica Hurley | Psychologist | 681 Hioaks Rd Ste E, Richmond, VA 23225-4043 | 2017-01-17 |
| 1952728008 | Sukhpinder Dhillon | Psychologist | 2120 Staples Mill Rd Ste 209, Richmond, VA 23230-2917 | 2014-03-26 |
| 1346679404 | Mollie Lyddane | Psychologist | 2 Bayside Ct, Richmond, CA 94804-7441 | 2013-11-08 |
| 1649617051 | Kathryn Rose Hefner | Psychologist | 2123 Rosewood Avenue, Richmond, VA 23220 | 2013-05-24 |
| 1639430093 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Psychologist | 5855 Bremo Rd Ste 404, Mob North, Richmond, VA 23226-1924 | 2012-06-01 |
| 1316248297 | Carolyn Etheridge Harrington | Psychologist | 5322 Stokes Ln, Richmond, VA 23226-1918 | 2010-11-09 |
| 1740502269 | Lynda Ann Benson Fereday | Psychologist | 521 Lancaster Ave Rm 571, Richmond, KY 40475-3100 | 2010-02-25 |
| 1104067495 | Arts for Replenishment and Change, Pllc | Psychologist | 530 E Main St Ste 420, Richmond, VA 23219-2431 | 2009-03-16 |
| 1255577573 | Mark Stuart Pirie | Psychologist | 631 30th St, Richmond, CA 94804-1525 | 2008-12-17 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.