DR. GERALD L KELLER (NPI# 1982637724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982637724 |
| Entity Type | Individual |
| Full Name | DR. GERALD L KELLER |
| Credential | PSY.D. |
| Practice Address |
1015 Chestnut St Suite 312 Philadelphia PA 19107-4316 |
| Practice Telephone | 2156279088 |
| Practice Fax Number | 2157414662 |
| Mailing Telephone | 2156279088 |
| Mailing Fax Number | 2157414662 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
PS008574L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902989692 | Gerald C Keller | Physical Therapist | 240 Se 3rd Ct, Pompano Beach, FL 33060-7127 | 2006-10-24 |
| 1407090210 | Gerald Scott Keller | Family Medicine | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2009-04-23 |
| 1144336876 | Gerald Louis Keller Jr. | Registered Nurse | 10435 Clayton Rd, Frontenac, MO 63131-2909 | 2006-08-23 |
| 1255380085 | Gerald C Keller | Family Medicine | 2810 E Causeway Approach, Mandeville, LA 70448-3502 | 2006-05-09 |
| Street Address |
1015 CHESTNUT ST SUITE 312 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255831 | Jocelyn J Sivalingam | Internal Medicine | 1015 Chestnut St, Ste 1518, Philadelphia, PA 19107-4315 | 2005-06-14 |
| 1972060952 | Center City Hearing | Audiologist | 1015 Chestnut St, Philadelphia, PA 19107-4316 | 2019-02-26 |
| 1063977973 | Karen Loos | Nurse Practitioner | 1015 Chestnut St, Philadelphia, PA 19107-4316 | 2019-02-05 |
| 1649717893 | Stefanie Lauko | Nurse Practitioner | 1015 Chestnut St, Philadelphia, PA 19107-4316 | 2017-01-26 |
| 1104283555 | Today's Woman Global Health LLC | Obstetrics & Gynecology | 1015 Chestnut St, Suite 1506, Philadelphia, PA 19107-4316 | 2016-01-15 |
| 1649643545 | Franklin Eye Care PC | Optometrist | 1015 Chestnut St, #417, Philadelphia, PA 19107-4316 | 2015-11-02 |
| 1659759678 | Stephen Peter Gadomski II | Student in an Organized Health Care Education/Training Program | 1015 Chestnut St, Suite 620, Philadelphia, PA 19107-4316 | 2015-05-11 |
| 1649667700 | Courtney Lee Devin | Student in an Organized Health Care Education/Training Program | 1015 Chestnut St, Suite 620, Philadelphia, PA 19107-4316 | 2015-04-16 |
| 1710374848 | Ellen Caparosa | Student in an Organized Health Care Education/Training Program | 1015 Chestnut St, Suite 620, Philadelphia, PA 19107-4316 | 2015-04-15 |
| 1275929309 | Geoffrey Kozak | Student in an Organized Health Care Education/Training Program | 1015 Chestnut St, Suite 620, Philadelphia, PA 19107-4316 | 2015-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| 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 |
|---|---|---|---|---|
| 1467505065 | Intercultural Family Services, Inc. | Psychologist | 4254-56 Chestnut Street, Philadelphia, PA 19104 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952230 | Janelle R Jefferson | Psychologist | 1717 Washington Blvd Apt 2, Easton, PA 18042-4673 | 2020-05-01 |
| 1477013803 | Amirah Rahim | Psychologist | 240 Cherry St, Sharon Hill, PA 19079-1308 | 2019-03-21 |
| 1659848752 | Dr. Lyz, LLC | Psychologist | 3005 Brodhead Rd Ste 107, Bethlehem, PA 18020-9299 | 2018-10-26 |
| 1356670483 | Johanna Hernandez | Psychologist | 320 Harbison Rd, Wayne, PA 19087-5203 | 2009-12-20 |
| 1336268069 | Joseph William Knox | Psychologist | 1000 Cedar Knls, Newtown Square, PA 19073-2808 | 2007-03-27 |
| 1821651662 | Candace Therese Irabli | Psychologist | 921 Chester Pike, Sharon Hill, PA 19079-1411 | 2019-04-17 |
| 1407329451 | Nathalie Rieder | Psychologist | 1086 Franklin St, Johnstown, PA 15905-4305 | 2019-01-02 |
| 1417444746 | Samuel A Faulkner | Psychologist | 100 N Academy Ave, Danville, PA 17822-9800 | 2018-04-23 |
| 1124236849 | Belinda Joyce Madison | Psychologist | 171 W Lancaster Ave, Paoli, PA 19301-1775 | 2007-05-18 |
| 1659442739 | Richard J Freedman | Psychologist | 129 N Michael St, Saint Marys, PA 15857-1171 | 2006-11-13 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.