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DR. SALLY KELLER PH.D.
NPI 1255405791
Psychologist - Clinical in Great Neck, NY

Active since November 17, 2006Opted out of Medicare · through Jul 1, 2027
5 BOND ST, STE. 4, GREAT NECK, NY 11021(516) 244-4148(925) 889-2838 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sally Keller Ph.d. NPPES

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

DR. SALLY KELLER PH.D. (NPI 1255405791) is an individual clinical provider in Great Neck, New York, licensed in New York (015413-1) and active in the NPI registry since November 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255405791
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SALLY KELLERCredential: PH.D.
Location Address5 BOND ST, STE. 4Great Neck, NY 11021-2420
Mailing Address43 North DrGreat Neck, NY 11021-1333 · (516) 244-4148 · Fax (925) 889-2838
Phone(516) 244-4148
Fax(925) 889-2838
Sole ProprietorYes
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255405791 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 · 015413-1
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.
5 BOND ST, Great Neck, NY 11021
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedP93288NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sally Keller Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUZANNE M KRAUSE LCSW
Social Worker (Clinical)
5 BOND ST, SUITE # 6
GREAT NECK, NY 11021
Nassau County (516) 829-4765
DR. STANLEY SHAPIRO M.D.
Psychiatry & Neurology (Psychiatry)
5 BOND ST
GREAT NECK, NY 11021
Nassau County (516) 466-4044

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 Sally Keller's NPI number?

The NPI number for Sally Keller is 1255405791. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Sally Keller located?

Sally Keller practices at 5 Bond St Ste. 4, Great Neck, NY 11021. The listed phone number is (516) 244-4148.

What is Sally Keller's specialty?

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

Is Sally Keller enrolled in Medicare?

No. Sally Keller has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Sally Keller accept?

Health plans from Providence Health Plan list Sally Keller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sally Keller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.