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

Active since September 11, 2014PECOS Enrolled
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: October 25, 2026.

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.

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
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ellen Keller Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ellen Keller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

B & l Cognitive Behavioral Psychology PLLC
19 mi
Clinical
165 N VILLAGE AVE STE 112
Rockville Centre, NY 11570
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1891875225 (631) 327-7107

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organization bills Medicare for Ellen Keller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Keller reassigns Medicare benefits to B & l Cognitive Behavioral Psychology PLLC (Rockville Centre, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellen Keller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 12 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.