DR. ELLEN MARIE KEATING PSYD
NPI 1508944208
Psychologist in Wheaton, IL

Active since November 01, 2006Opted out of Medicare · through Jan 1, 2028
2100 MANCHESTER RD STE 1070, WHEATON, IL 60187(630) 784-4600(630) 784-4600 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ellen Marie Keating Psyd NPPES

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

DR. ELLEN MARIE KEATING PSYD (NPI 1508944208) is an individual psychologist in Wheaton, Illinois, licensed in Illinois (071006981) and active in the NPI registry since November 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1508944208
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ELLEN MARIE KEATINGCredential: PSYD
Location Address2100 MANCHESTER RD STE 1070Wheaton, IL 60187-4579
Mailing Address2100 Manchester Rd Ste 1070Wheaton, IL 60187-4579 · (630) 784-4600 · Fax (630) 784-4600
Fax(630) 784-4600
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateJune 18, 2019
NPI 1508944208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 071006981
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2100 MANCHESTER RD STE 1070, Wheaton, IL 60187

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. Ellen Marie Keating Psyd 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Keating's NPI number?

The NPI number for Ellen Keating is 1508944208. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Ellen Keating located?

Ellen Keating practices at 2100 Manchester Rd Ste 1070, Wheaton, IL 60187. The listed phone number is (630) 784-4600.

What is Ellen Keating's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ellen Keating enrolled in Medicare?

No. Ellen Keating has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ellen Keating was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.