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KEYSTONE PSYCHOLOGY LLC
NPI 1649452608
Community/Behavioral Health in Green Bay, WI

Active since December 02, 2007
2131 S WEBSTER AVE, SUITE 105, GREEN BAY, WI 54301(920) 366-7792(920) 227-4117 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keystone Psychology Llc NPPES

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

KEYSTONE PSYCHOLOGY LLC (NPI 1649452608) is a healthcare organization registered as a community/behavioral health in Green Bay, Wisconsin and active in the NPI registry since December 2007. The organization lists Kevin Wayne Miller, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1649452608
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKEYSTONE PSYCHOLOGY LLC
Location Address2131 S WEBSTER AVE, SUITE 105Green Bay, WI 54301-2288
Mailing Address2131 S Webster Ave, Suite 105Green Bay, WI 54301-2288 · (920) 366-7792 · Fax (920) 227-4117
Phone(920) 366-7792
Fax(920) 227-4117
Organization SubpartNo
Authorized OfficialKevin Wayne MillerPsychologist · (920) 366-7792
Enumeration DateDecember 2, 2007
Last NPPES UpdateNovember 4, 2010
✔ NPI 1649452608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2131 S WEBSTER AVE, Green Bay, WI 54301
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Other Identifiers 1

Medicare PIN84011WI

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.

DR. KEVIN WAYNE MILLER PHD
Psychologist (Clinical)
2131 S WEBSTER AVE, SUITE 105
GREEN BAY, WI 54301
Brown County (920) 366-7792
ASPEN PSYCHOLOGY LLC
Community/Behavioral Health
2131 S WEBSTER AVE, SUITE 105
GREEN BAY, WI 54301
Brown County (920) 544-6712

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 Keystone Psychology LLC's NPI number?

The NPI number for Keystone Psychology LLC is 1649452608. It was assigned to this organization in the NPPES registry on December 2, 2007.

Where is Keystone Psychology LLC located?

Keystone Psychology LLC is located at 2131 S Webster Ave Suite 105, Green Bay, WI 54301. The listed phone number is (920) 366-7792.

What is Keystone Psychology LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Keystone Psychology LLC was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.