DR. JARED WAYNE KEELEY (NPI# 1700154309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700154309 |
| Entity Type | Individual |
| Full Name | DR. JARED WAYNE KEELEY |
| Credential | PH.D. |
| Practice Address |
612 N Lombardy St Richmond VA 23284-9100 |
| Mailing Address |
12300 Point Landing Ct Midlothian VA 23112-6896 |
| Practice Telephone | 8048288069 |
| Mailing Telephone | 6624188114 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2017-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
50-873 | MS | Behavioral Health & Social Service Providers |
| Street Address |
612 N LOMBARDY ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23284-9100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495635 | Vanessa M Ellison | Social Worker | 907 Floyd Ave Ste 238, Richmond, VA 23284 | 2018-01-12 |
| 1366786790 | Elizabeth Winthrop | Nurse Practitioner | 1200 W Broad St, Richmond, VA 23284 | 2012-11-26 |
| 1134333099 | Christine Petze Charbonneau | Registered Nurse | 1300 W Broad Street, Virginia Commonwealth University Student Health Service, Richmond, VA 23284 | 2007-05-10 |
| 1174745616 | Virginia Commonweatlh University Student Health Pharmacy | Pharmacy | 1300 W. Broad Street, Suite 2200, Richmond, VA 23284 | 2007-05-03 |
| 1912394800 | Samuel Grodman | Emergency Medicine | 821 W Franklin St, Richmond, VA 23284 | 2015-04-19 |
| 1225242183 | Jeannette Stien Bishai | Registered Nurse | 1300 West Broad Street, Richmond, VA 23284 | 2007-05-10 |
| 1194100644 | James Thomas Benzel | Specialist/Technologist | 1300 West Broad St., Suite 130, Richmond, VA 23284-2003 | 2015-07-27 |
| 1093940447 | Micah L Mccreary | Psychologist | 800 W. Franklin Street, Room 107, Richmond, VA 23284-2018 | 2009-05-28 |
| 1649391376 | Scott E Ross | Specialist/Technologist | 1015 W. Main St, Richmond, VA 23284-2020 | 2007-04-02 |
| 1497873814 | Alan David Freedman | Specialist/Technologist | Virginia Commonwealth University School of Education, 1015 West Main St., Box 842020, Richmond, VA 23284-2020 | 2007-03-26 |
| Find all providers in zip 23284 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796731 | A Step Forward Wellness Services LLC | Psychologist | 2002 Bremo Rd Ste 204, Richmond, VA 23226-2441 | 2018-10-22 |
| 1417435447 | Erin D. Kurtz | Psychologist | 1201 Broad Rock Blvd # 116b, Richmond, VA 23249-0001 | 2018-08-01 |
| 1649762873 | Caitlin Paige Campbell | Psychologist | 1201 Brock Road Blvd, Richmond, VA 23249-0001 | 2018-06-04 |
| 1689195141 | Kimberly Knight Hilton | Psychologist | 2401 Hartman St, Richmond, VA 23223-2458 | 2017-07-05 |
| 1720511504 | Marshall Psychological Services, LLC | Psychologist | 2800 N. Parham Road, Suite 107, Richmond, VA 23294 | 2017-04-07 |
| 1740732981 | Howard Lloyd | Psychologist | 907 Floyd Ave, Richmond, VA 23284-9026 | 2016-11-03 |
| 1679929061 | Elizabeth Meghan Archer Wheeler | Psychologist | 7400 Beaufort Springs Drive, Suite 300, Richmond, VA 23225-3039 | 2016-05-04 |
| 1730558909 | Jodi Suzanne Couick | Psychologist | 3000 Parker Rd, Richmond, CA 94806-2742 | 2015-09-17 |
| 1386024461 | Rosalie Corona | Psychologist | 4730 East Southside Plaza, Richmond, VA 23224 | 2015-06-04 |
| 1649677337 | Yuriy Ustinov | Psychologist | 3 Baker St, Richmond, ME 04357-1387 | 2014-11-25 |
| 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.