DR. CARISSA JEAN KELLER PSY.D.
NPI 1366856502
Psychologist - Clinical in Hackettstown, NJ
About Dr. Carissa Jean Keller Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARISSA JEAN KELLER PSY.D. (NPI 1366856502) is an individual clinical provider in Hackettstown, New Jersey, licensed in New Jersey (35SI00647100) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Carissa Jean 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.
Medicare Billing Reassignment
Medicare enrollment records show Carissa Keller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hackettstown, NJ 07840
- Reassigned Medicare billing, New Jersey enrollment
- 7 clinicians in this Medicare group
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 07840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carissa Keller's NPI number?
The NPI number for Carissa Keller is 1366856502. It was assigned to this individual provider in the NPPES registry on June 16, 2014.
Where is Carissa Keller located?
Carissa Keller practices at 108 Bilby Rd Ste 305, Hackettstown, NJ 07840. The listed phone number is (908) 979-1144.
What is Carissa Keller's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Carissa Keller enrolled in Medicare?
Yes. Carissa 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.
Which organization bills Medicare for Carissa Keller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Keller reassigns Medicare benefits to Psychological Associates Of North Jersey LLC (Hackettstown, NJ). 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 Carissa 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 Carissa Keller was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Dr. Carissa Jean Keller, PSY.D. · NPI 1366856502
Clinical provider in Hackettstown, New Jersey. Individual provider, active in the CMS NPPES registry since June 16, 2014.
## Identity
- **NPI:** 1366856502 (Entity type: Individual)
- **Enumerated:** June 16, 2014
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 35SI00647100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 108 BILBY RD STE 305, Hackettstown, NJ 07840-4174
- **Phone:** (908) 979-1144
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Psychological Associates Of North Jersey LLC (NPI 1396802682, Hackettstown, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366856502) · Data from the CMS NPPES public registry.