DR. MICHAEL PETER KELLER (NPI# 1093855488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093855488 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PETER KELLER |
| Credential | LP |
| Practice Address |
121 Adams St S Psychological Service Associates Cambridge MN 55008-1620 |
| Practice Telephone | 7634424111 |
| Practice Fax Number | 2246494658 |
| Mailing Telephone | 7634424111 |
| Mailing Fax Number | 2246494658 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2013-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP4821 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 298039800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669006433 | Michael Howard Keller | Specialist/Technologist, Other | 414 Chapel St, Marengo, IL 60152-3016 | 2020-03-02 |
| 1407396831 | Michael Keller | Pharmacist | 6329 Red Rock Ct, Norton Shores, MI 49444-8794 | 2017-03-04 |
| 1528449725 | Michael Charles Keller | Surgery | 21216 Northwest Fwy Ste 210, Cypress, TX 77429-4778 | 2015-06-12 |
| 1871837310 | Michael Daniel Keller | Home Health | 430 5th Ave, Two Harbors, MN 55616-1422 | 2012-11-21 |
| 1659572824 | Michael A Keller | Colon & Rectal Surgery | 7950 Floyd Curl Dr Ste 101, Medical Tower I, San Antonio, TX 78229-3916 | 2007-05-29 |
| 1841409661 | Michael E. Keller | Dentist | 3200 Middle Dr, Columbus, IN 47203-4426 | 2007-05-21 |
| 1235253303 | Michael Edward Keller | Dentist | 236 Ernston Rd, Suite 6, Parlin, NJ 08859-1926 | 2007-03-16 |
| 1730275892 | Michael L Keller | Pharmacist | 141 Hospital Drive, Salem, KY 42078 | 2006-10-05 |
| 1952319105 | Michael W Keller | Specialist | 4000 Miamisburg-ctrvle Rd, Miamisburg, OH 45342-3660 | 2006-08-04 |
| 1477572741 | Michael Aaron Keller | Dentist | 2045 Brookwood Medical Ctr Dr, Suite 5-7, Birmingham, AL 35209-6874 | 2006-07-18 |
| Street Address |
121 ADAMS ST S PSYCHOLOGICAL SERVICE ASSOCIATES |
| City | CAMBRIDGE |
| State | MN |
| Zip Code | 55008-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172462 | Intentional Wellness Solutions | Clinic/Center | 121 Adams St S, Cambridge, MN 55008-1620 | 2020-01-06 |
| 1548651409 | Jamie Anderson | Nurse Practitioner | 121 Adams St S, Cambridge, MN 55008-1620 | 2015-02-13 |
| 1952712572 | Cambridge Counseling Center, LLC | Marriage & Family Therapist | 121 Adams St S, Cambridge, MN 55008-1620 | 2014-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475716 | B's Adult Day Center Inc | Clinic/Center | 626 Main Street North, Cambridge, MN 55008 | 2018-11-09 |
| 1538607494 | Katy Karas | Counselor | 3171 309 Ave Nw, Cambridge, MN 55008 | 2017-02-10 |
| 1295273944 | Amy Roell | Occupational Therapist | 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 | 2017-02-02 |
| 1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
| 1235424870 | Melanie Andree Furtney Christofferson | Obstetrics & Gynecology | 701 S. Dellwood St., Cambridge, MN 55008 | 2011-06-11 |
| 1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
| 1386966166 | Stacie Mix | Massage Therapist | 807 Main St North, Cambridge, MN 55008 | 2010-02-22 |
| 1538491261 | Kristin Peltz | Massage Therapist | 807 Main St N, Cambridge, MN 55008 | 2010-02-05 |
| 1831324979 | Michelle Lynn Preuss Varsoke | Dietitian, Registered | 701 S Dellwood St, Cambridge, MN 55008 | 2009-05-19 |
| 1659590024 | Jennifer Ellen Norberg | Physical Therapist | 701 South Dellwood Street, Cambridge, MN 55008 | 2007-04-24 |
| Find all providers in zip 55008 | ||||
| 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 |
|---|---|---|---|---|
| 1043793722 | Lucy Curell | Psychologist | 278 Washington St Apt 2, Cambridge, MA 02139-3506 | 2018-09-10 |
| 1023504156 | Robert Graham Kegan | Psychologist | 71 Larch Rd, Cambridge, MA 02138-3316 | 2018-07-01 |
| 1063907590 | Meg Alison Bond | Psychologist | 61 Dudley St, Cambridge, MA 02140-2419 | 2018-06-27 |
| 1982199816 | Lisa A Cosgrove | Psychologist | 415 Broadway, Cambridge, MA 02138-4278 | 2018-06-23 |
| 1811480924 | Nancy Clare Kehoe | Psychologist | 100 Cushing St, Cambridge, MA 02138-4584 | 2018-06-13 |
| 1033601547 | Arlene Miller | Psychologist | 75 Richdale Ave Ste 10, Cambridge, MA 02140-2608 | 2018-05-31 |
| 1568952810 | Janet Amphlett | Psychologist | 47 Thorndike St, Cambridge, MA 02141-1799 | 2018-05-12 |
| 1871082834 | William Mcmullen | Psychologist | 109 Antrim St, Cambridge, MA 02139-1133 | 2018-05-05 |
| 1912496183 | Katherine Ann Coleman | Psychologist | 44 Concord Ave, Cambridge, MA 02138-2380 | 2018-05-03 |
| 1811485709 | Craig Rodgers | Psychologist | 872 Mass Ave Apt 908, Cambridge, MA 02139-3018 | 2018-04-25 |
| Find all providers in CAMBRIDGE | ||||
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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.