JAMES RILEY KELLER (NPI# 1437340528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437340528 |
| Entity Type | Individual |
| Full Name | JAMES RILEY KELLER |
| Other Name | JIM R KELLER |
| Credential | PHD |
| Practice Address |
1800 Renaissance Blvd Edmond OK 73013-3023 |
| Mailing Address |
Po Box 7083 Edmond OK 73083-7083 |
| Practice Telephone | 4053592422 |
| Mailing Telephone | 4053592422 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
854 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285972356 | James E. Keller II | Social Worker | 989 W Kennedy Blvd, Suite 202, Orlando, FL 32810-6199 | 2013-01-24 |
| 1508034323 | James Lloyd Keller | Optometrist | 4517 W. Sahara Ave, Las Vegas, Nv 89102, Las Vegas, NV 89102 | 2008-02-14 |
| 1386702751 | James F Keller | Dentist | 2508 E Fox Farm Rd # 1-1a, Cheyenne, WY 82007-2559 | 2006-12-05 |
| 1306919063 | James David Keller | Preventive Medicine | 2200 Conner Rd, Hebron, KY 41048-8142 | 2006-11-17 |
| 1962511568 | James Clayton Keller Jr. | Dentist | 8254 One Calais Ave, Ste 100, Baton Rouge, LA 70809-3450 | 2006-08-29 |
| 1649248972 | James Lee Keller | Physical Therapist | 359 Gabilan Plaza, Soledad, CA 93960 | 2006-03-11 |
| 1184620700 | James R. Keller | Dentist | 1537 E 66th St, Richfield, MN 55423-2663 | 2005-06-28 |
| 1699314708 | James L Keller | Specialist/Technologist | 251 Violet St Ste 150, Golden, CO 80401-6724 | 2020-01-06 |
| 1457702235 | James M Keller IIi | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2016-06-23 |
| 1043652639 | James Patrick Keller | Social Worker | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2013-07-23 |
| Street Address |
1800 RENAISSANCE BLVD |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587636 | Toby D Broussard | Surgery | 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023 | 2005-06-09 |
| 1083273932 | Jennifer Wu | Registered Nurse | 1800 Renaissance Blvd, Edmond, OK 73013-3023 | 2019-06-12 |
| 1003354689 | Memorial Hospital of Texas County Authority | Orthopaedic Surgery | 1800 Renaissance Blvd, Second Floor Tower, Suite 210, Edmond, OK 73013-3023 | 2017-02-03 |
| 1184179988 | Zeiders Orthopedics Pllc | Orthopaedic Surgery | 1800 Renaissance Blvd, Suite 210, Edmond, OK 73013-3023 | 2016-08-22 |
| 1437492436 | Melisa Weaver Aprn - Cnp Pllc | Nurse Practitioner | 1800 Renaissance Blvd, Suite 200, Edmond, OK 73013-3023 | 2013-03-28 |
| 1881935922 | Sheridan Anesthesia Services of Oklahoma, Inc | Anesthesiology | 1800 Renaissance Blvd, Edmond, OK 73013-3023 | 2013-03-14 |
| 1740578103 | Dianne Genene Tupper | Registered Nurse | 1800 Renaissance Blvd, Edmond, OK 73013-3023 | 2011-07-19 |
| 1225260565 | Jim R. Keller, Ph.d., Specialists In Psychological Counseling & Consul | Psychologist | 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023 | 2009-08-20 |
| 1982838876 | Jennifer Marie Cooper | Specialist/Technologist | 1800 Renaissance Blvd, Edmond, OK 73013-3023 | 2009-05-07 |
| 1821231929 | Tupper Orthopedics Pllc | Orthopaedic Surgery | 1800 Renaissance Blvd, Suite 200, Edmond, OK 73013-3023 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346660412 | Mental Wellness Services, LLC | Psychologist | 3605 Nw 175th St, Edmond, OK 73012-6901 | 2014-04-16 |
| 1497837017 | Lee A Thrash | Psychologist | 407 W 15th St, Ste. 7, Edmond, OK 73013-3745 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827016 | Grundy Psychological Services, P.C. | Psychologist | 205 Ketchum Avenue, Ketchum, OK 74349 | 2018-10-22 |
| 1891212551 | Mary Elizabeth Mohon | Psychologist | Oklahoma Vamc 921 Ne 13th Street, 11g, Oklahoma City, OK 73104 | 2017-08-24 |
| 1255855110 | Christopher Thomas Copeland | Psychologist | 920 Stanton L Young Blvd # Wp3445, Oklahoma City, OK 73104-5036 | 2017-08-01 |
| 1588063085 | La'queion Ballard | Psychologist | 2221 Ne 24th St, Oklahoma City, OK 73111-3421 | 2014-08-20 |
| 1285915710 | Gloria P Okelley | Psychologist | 4400 Hemingway Dr., # 221, Oklahoma City, OK 73118 | 2011-08-29 |
| 1023214392 | Robert J. Powitzky | Psychologist | 4710 Hemlock Cir, Oklahoma City, OK 73162-1938 | 2007-06-25 |
| 1407070790 | Ralph Edmond Lindsey | Psychologist | 115 E 4th Ave, Stillwater, OK 74074-3527 | 2007-04-11 |
| 1497877765 | Omar Wr Muhammad | Psychologist | 3312 E Maxwell Dr, Oklahoma City, OK 73121-2246 | 2007-04-05 |
| 1386787661 | Lisa Myers Black | Psychologist | 4003 24th Ave Ne, Norman, OK 73071-7749 | 2007-02-15 |
| 1043393234 | Curtis Todd Grundy | Psychologist | 1520 North Industrial Rd, Vinita, OK 74301 | 2006-10-23 |
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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.