DR. BRUCE L. KEISLING (NPI# 1699881318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699881318 |
| Entity Type | Individual |
| Full Name | DR. BRUCE L. KEISLING |
| Credential | DR. |
| Practice Address |
711 Jefferson Ave Memphis TN 38105-5003 |
| Practice Telephone | 9014486511 |
| Practice Fax Number | 9014487097 |
| Mailing Telephone | 9014486511 |
| Mailing Fax Number | 9014487097 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
P0000002219 | TN | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
P0000002219 | TN | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
P0000002219 | TN | Behavioral Health & Social Service Providers |
| Street Address |
711 JEFFERSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921226 | Ronald Rafael Espinal | Pediatrics | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2005-09-06 |
| 1043822711 | Alexandra Marie Vohs | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2020-08-23 |
| 1487276523 | Shana Jen Crispin | Social Worker | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2020-05-12 |
| 1699305102 | Elizabeth Adams | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2020-01-23 |
| 1023677028 | Katherine Eileen O'bar | Dietitian, Registered | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-06-12 |
| 1659831451 | Philip A Norfolk | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-03-20 |
| 1780140376 | Takiiah Parker | Behavioral Analyst | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-02-19 |
| 1811467731 | Jessica M James | Behavior Technician | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-12-04 |
| 1619472065 | Jaime Tolleth | Behavioral Analyst | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-03-28 |
| 1255849691 | Michelle Elizabeth Pleasant | Behavior Technician | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295387868 | Jigsaw Behavioral Academy | Psychologist | 2175 Durham Ave, Memphis, TN 38127-3409 | 2019-07-12 |
| 1891975397 | Dawn M Stewart | Psychologist | 214 S Greer St, Memphis, TN 38111-3434 | 2007-11-13 |
| 1346420809 | Jeffrey Brian Smith | Psychologist | 4055 N Park Loop Ste 1000, Memphis, TN 38152-4869 | 2007-11-13 |
| 1356421663 | Katherine V Powers | Psychologist | 371 Alexander St, Memphis, TN 38111-4450 | 2006-10-17 |
| 1720007388 | Beverly Brown | Psychologist | 5068 Carterville Pl, Memphis, TN 38127-2525 | 2006-07-18 |
| 1841787694 | Dennis Lamar Painter I | Psychologist | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2018-04-17 |
| 1164705554 | Advancing Developmental Skills Pllc | Psychologist | 371 Alexander St, Memphis, TN 38111-4450 | 2011-09-22 |
| 1285634758 | David M Deason | Psychologist | 3950 Central Ave, Memphis, TN 38111-7602 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058051 | Judy Mier-chairez | Psychologist | 155 Franklin Rd Ste 135, Brentwood, TN 37027-4646 | 2020-06-17 |
| 1639331168 | Julie Ann Demarco | Psychologist | 8284 Clinton Way Ln, Cordova, TN 38018-6305 | 2008-06-26 |
| 1669633384 | Susan Kay Fuhr | Psychologist | 141 N Martinwood Rd, Your Journeys 104-7, Knoxville, TN 37923-5137 | 2008-06-25 |
| 1225208531 | Michelle Mcatee | Psychologist | 109 Holiday Ct Ste D6, Franklin, TN 37067-1311 | 2008-03-04 |
| 1598934762 | Dara T. Kline | Psychologist | 1637 Niggs Creek Rd, Oneida, TN 37841-6417 | 2008-02-21 |
| 1578767208 | Karen Swoboda | Psychologist | 106 Parkland Cir, Clarksville, TN 37043-6846 | 2007-06-14 |
| 1902940349 | The Habilitation Corporation | Psychologist | 1396 Beaver Trail Dr, Cordova, TN 38016-9601 | 2007-02-19 |
| 1417097866 | David Chamberlain | Psychologist | 249 Twin Barns Rd, Greeneville, TN 37743-0968 | 2007-02-07 |
| 1225124209 | We Care Individual and Family Service Center Inc. | Psychologist | 1273 Dayton Mtn Hwy, Dayton, TN 37321-2816 | 2006-10-05 |
| 1871588855 | David Arlen Solovey | Psychologist | 7302 Jarnigan Rd, Chattanooga, TN 37421-3042 | 2005-09-15 |
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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.