John A Keenan is a Psychologist in Beachwood, Ohio. John A Keenan practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John A Keenan is 1497703748. The last update date is 2023-10-24.
John A Keenan's current location address is 23250 Chagrin Blvd Ste 425, Beachwood, Ohio. You can contact this provider via phone number 2164644243. The mailing address for John A Keenan is 23250 Chagrin Blvd Ste 425, Beachwood, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John A Keenan |
|---|---|
| Address | 23250 Chagrin Blvd Ste 425, Beachwood, Ohio |
| Phone Number | 2164644243 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1497703748 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2023-10-24 |
Provider Mailing Address Detail
| Address | 23250 Chagrin Blvd Ste 425 |
|---|---|
| City | Beachwood |
| State | Ohio (OH) |
| Post Code | 441225445 |
| Phone Number | 2164644243 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY 853 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A0248896 | HI | HMSA | |
| 72440163 | HI | KAISER |
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What is the unique 10-digit identifier code issued to John A Keenan by the Centers for Medicare & Medicaid Services?
The John A Keenan has been assigned the NPI (National Provider Identifier) 1497703748 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where John A Keenan's facilities are situated?
The facilities of John A Keenan are physically located at the following address: 23250 Chagrin Blvd Ste 425, Beachwood, OH, 441225445.
What is John A Keenan's specialized field of practice, and what is the corresponding taxonomy classification code?
The John A Keenan's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did the John A Keenan receive its 1497703748?
The John A Keenan was issued its 1497703748 on 2006-05-05, which is the date when the organization was assigned this unique identifier.
As of what date were the John A Keenan's details last updated?
The information pertaining to the John A Keenan, including its address, specialty, and other details, was most recently updated on 2023-10-24.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH