DR. ELLEN KELLER PSY.D.
NPI 1083015879
Psychologist - Clinical in Deer Park, NY

Q: What is Ellen Keller's NPI number?

The NPI number for Ellen Keller is 1083015879. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Q: What is Ellen Keller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Keller was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2014PECOS EnrolledAccepts Medicare Assignment

81 LINCOLN AVE, DEER PARK, NY 11729(631) 902-0505 Get Directions Write a Review

NPPES record last updated: September 11, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Ellen Keller Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELLEN KELLER PSY.D. (NPI 1083015879) is an individual clinical provider in Deer Park, New York, licensed in New York (013125) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1083015879

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ELLEN KELLERCredential: PSY.D.

Location Address81 LINCOLN AVEDeer Park, NY 11729-7015

Mailing Address81 Lincoln AveDeer Park, NY 11729-7015 · (631) 902-0505

Phone(631) 902-0505

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateSeptember 11, 2014

✔ NPI 1083015879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 013125

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

81 LINCOLN AVE, Deer Park, NY 11729

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ellen Keller Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022070648

PECOS Enrollment IDI20041027000318

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11729 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Keller's NPI number?

The NPI number for Ellen Keller is 1083015879. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Where is Ellen Keller located?

Ellen Keller practices at 81 Lincoln Ave, Deer Park, NY 11729. The listed phone number is (631) 902-0505.

What is Ellen Keller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ellen Keller enrolled in Medicare?

Yes. Ellen Keller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ellen Keller was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.