MR. KEITH RICHARD KOKSENG PSY. D.
NPI 1356476782
Psychologist - Clinical in Saint Petersburg, FL

Q: What is Keith Kokseng's NPI number?

The NPI number for Keith Kokseng is 1356476782. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Q: What is Keith Kokseng'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 Keith Kokseng was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 23, 2007

2804 1ST AVE S, SAINT PETERSBURG, FL 33712(813) 523-7563 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Keith Richard Kokseng Psy. D. NPPES

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

MR. KEITH RICHARD KOKSENG PSY. D. (NPI 1356476782) is an individual clinical provider in Saint Petersburg, Florida, licensed in Florida (PY9814) and active in the NPI registry since February 2007. He maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1356476782

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. KEITH RICHARD KOKSENGCredential: PSY. D.

Location Address2804 1ST AVE SSaint Petersburg, FL 33712-1002

Mailing Address2804 1st Ave SSaint Petersburg, FL 33712-1002 · (727) 201-2485 · Fax (813) 272-3766

Phone(813) 523-7563

Sole ProprietorNo

Enumeration DateFebruary 23, 2007

Last NPPES UpdateJune 22, 2022

NPPES CertifiedJune 22, 2022

✔ NPI 1356476782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY9814

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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

2804 1ST AVE S, Saint Petersburg, FL 33712

Open in Google Maps ↗

Secondary Practice Location 1

Location 15707 N 22nd Street, Mental Health Care IncTampa, FL 33610 · Phone (813) 272-2878 ext. 218 · Fax (813) 272-3766

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 Keith Kokseng's NPI number?

The NPI number for Keith Kokseng is 1356476782. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Keith Kokseng located?

Keith Kokseng practices at 2804 1st Ave S, Saint Petersburg, FL 33712. The listed phone number is (813) 523-7563.

What is Keith Kokseng's specialty?

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

When was this NPI record last updated?

The NPPES record for Keith Kokseng was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.