LOIS JEAN KEITHLY (NPI# 1184848327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184848327 |
| Entity Type | Individual |
| Full Name | LOIS JEAN KEITHLY |
| Credential | PH.D. |
| Practice Address |
68 Leonard St Belmont MA 02478-2522 |
| Mailing Address |
29 Valley Rd Arlington MA 02476-7831 |
| Practice Telephone | 7816410457 |
| Mailing Telephone | 7816410457 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3853 | MA | Behavioral Health & Social Service Providers |
| Street Address |
68 LEONARD ST |
| City | BELMONT |
| State | MA |
| Zip Code | 02478-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487663522 | Sherri A Mello | Psychiatry & Neurology | 68 Leonard St, Suite 307, Belmont, MA 02478-2522 | 2006-08-07 |
| 1841485448 | Carol Henderson Evans | Social Worker | 68 Leonard St, Suite 306, Belmont, MA 02478-2522 | 2007-09-07 |
| 1568506137 | John Edgar Baker | Psychologist | 68 Leonard St, 2nd Floor, Belmont, MA 02478-2522 | 2007-02-16 |
| 1700928587 | Judith Anne Ashway | Social Worker | 68 Leonard St, 2nd Floor, Belmont, MA 02478 | 2007-02-12 |
| 1467598961 | Steffen R. Fuller | Clinical Neuropsychologist | 68 Leonard St, Belmont, MA 02478-2522 | 2007-01-30 |
| 1558407064 | Fuller Consulting Services, LLC | Clinical Neuropsychologist | 68 Leonard St, Belmont, MA 02478-2522 | 2007-01-30 |
| 1598824922 | Manuela Paola Mcshane | Counselor | 68 Leonard St, Suite 306, Belmont, MA 02478-2522 | 2006-12-08 |
| 1396858411 | Elizabeth Torres | Psychologist | 68 Leonard St, Suite 304, Belmont, MA 02478-2522 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755398 | Jessica L Lazar Schwartz | Psychologist | 115 Mill St # Ms 238, Belmont, MA 02478-1064 | 2020-06-24 |
| 1700371747 | Rachel Faye Bruno | Psychologist | 220 Lewis Road, Belmont, MA 02478-3833 | 2018-06-22 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1659861870 | Jeffrey Paul Miner | Psychologist | 36 Broad St, Belmont, MA 02478-3206 | 2018-05-14 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| 1699090357 | Emily E Manove | Psychologist | 25 Flanders Rd, Belmont, MA 02478-4066 | 2010-04-06 |
| 1851537773 | Emily R. Wildman, Psy.d., LLC | Psychologist | 2824 Alhambra Dr, Belmont, CA 94002-1352 | 2008-12-23 |
| 1942497565 | Michele Candrian | Psychologist | 115 Mill Street, Mclean Hospital, North Belknap 1, Belmont, MA 02428 | 2007-09-27 |
| 1790902443 | Elizabeth M Rizzo | Psychologist | 1200 Sixth Ave, Belmont, CA 94002-3856 | 2007-04-20 |
| Find all providers in BELMONT | ||||
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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.