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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JACK KELLER PMHNP-BC
NPI 1356754931
Nurse Practitioner - Psychiatric/Mental Health in Canton, MA

Active since June 11, 2014
340 TURNPIKE ST, CANTON, MA 02021(781) 619-1500(781) 619-1509 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Jack Keller Pmhnp-bc NPPES

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

MR. JACK KELLER PMHNP-BC (NPI 1356754931) is an individual psychiatric/mental health provider in Canton, Massachusetts, licensed in Massachusetts (RN10017560) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1356754931
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JACK KELLERCredential: PMHNP-BC
Location Address340 TURNPIKE STCanton, MA 02021-2700
Mailing Address340 Turnpike StCanton, MA 02021-2700 · (781) 619-1500 · Fax (781) 619-1509
Phone(781) 619-1500
Fax(781) 619-1509
Sole ProprietorNo
Enumeration DateJune 11, 2014
Last NPPES UpdateAugust 28, 2026
NPPES CertifiedAugust 28, 2026
✔ NPI 1356754931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN10017560
340 TURNPIKE ST, Canton, MA 02021
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Other Providers at the Same Location NPPES 20

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

ICCD PARTNERS
Clinical Neuropsychologist
340 TURNPIKE ST, SUITE 11A
CANTON, MA 02021
Norfolk County (617) 641-0900
KATIA FREDRIKSEN PSY.D
Clinical Neuropsychologist
340 TURNPIKE ST
CANTON, MA 02021
Norfolk County (781) 619-1500
SARAH ERVIN MS,OTR/L
Specialist
340 TURNPIKE ST
CANTON, MA 02021
Norfolk County (781) 619-1581
TIFFANY GALVIN MOT
Occupational Therapist
340 TURNPIKE ST
CANTON, MA 02021
Norfolk County (781) 619-1500
ICCD PARTNERS
Pediatrics (Developmental - Behavioral Pediatrics)
340 TURNPIKE ST
CANTON, MA 02021
Norfolk County (781) 619-1500
JULIA CATHERINE STEINBERG LICSW
Social Worker (Clinical)
340 TURNPIKE ST
CANTON, MA 02021
Norfolk County (781) 619-1500
AMY M COUGHLIN M.S., CCC-SLP
Speech-Language Pathologist
340 TURNPIKE ST, SUITE 1-3A
CANTON, MA 02021
Norfolk County (781) 619-1500
CONSTANCE KUMIKO WAUTHIER MSOT, OTR/L
Occupational Therapist
340 TURNPIKE ST
CANTON, MA 02021
Norfolk County (781) 619-1500

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 Jack Keller's NPI number?

The NPI number for Jack Keller is 1356754931. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Jack Keller located?

Jack Keller practices at 340 Turnpike St, Canton, MA 02021. The listed phone number is (781) 619-1500.

What is Jack Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Jack Keller accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jack 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 Jack Keller was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.