PHILIP JAMES KEDDY PH.D. - NPI 1679768162 - Psychologist in Oakland, CA

Q: What is Philip Keddy's NPI number?

The NPI number for Philip Keddy is 1679768162. It was assigned to this individual provider in the NPPES registry on September 8, 2007.

Q: What is Philip Keddy's specialty?

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

Q: Is Philip Keddy enrolled in Medicare?

No. Philip Keddy has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Philip Keddy was last updated on September 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

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About Philip James Keddy Ph.d. NPPES

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

PHILIP JAMES KEDDY PH.D. (NPI 1679768162) is an individual clinical provider in Oakland, California, licensed in California (PSY8828) and active in the NPI registry since September 2007. He has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1679768162

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NamePHILIP JAMES KEDDYCredential: PH.D.

Location Address5625 COLLEGE AVE, 216Oakland, CA 94618-1585

Mailing Address5625 College Ave, 216Oakland, CA 94618-1585 · (510) 655-8824 · Fax (510) 845-6889

Phone(510) 655-8824

Fax(510) 845-6889

Sole ProprietorYes

Enumeration DateSeptember 8, 2007

✔ NPI 1679768162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY8828

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.

5625 COLLEGE AVE, Oakland, CA 94618

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Other Identifiers 2

OtherPSY8828CA · Psychologist License

Medicare UPIN00PL88280CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Philip James Keddy Ph.d. 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 October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

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

DR. MARY ANN JONES PH.D.

Psychologist (Clinical)

5625 COLLEGE AVE, SUITE 216-B
OAKLAND, CA 94618

Alameda County (415) 244-9702

MS. SHEILA JUNE SOSNOW PHD

Psychologist

5625 COLLEGE AVE, SUITE 211
OAKLAND, CA 94618

Alameda County (510) 653-6827

NAOMI DEVERA BARAN MA MFT

Psychologist

5625 COLLEGE AVE, SUITE 216
OAKLAND, CA 94618

Alameda County (510) 652-2618

DR. HELENA HERSHEL PH.D. MFT

Marriage & Family Therapist

5625 COLLEGE AVE, SUITE 216
OAKLAND, CA 94618

Alameda County (510) 655-1822

SVETLANA ALEXANDRA THEIMER MFT

Marriage & Family Therapist

5625 COLLEGE AVE, 208
OAKLAND, CA 94618

Alameda County (510) 845-0548

HELEN HANSEL MFT

Marriage & Family Therapist

5625 COLLEGE AVE, SUITE 216C
OAKLAND, CA 94618

Alameda County (510) 986-9186

DR. JULIA ANABLE PH.D.

Psychologist (Clinical)

5625 COLLEGE AVE, SUITE 216
OAKLAND, CA 94618

Alameda County (415) 609-1760

DR. DIANE SYLVIA SANTAS PH.D.

Psychologist (Clinical)

5625 COLLEGE AVE, SUITE #212
OAKLAND, CA 94618

Alameda County (510) 834-4848

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 Philip Keddy's NPI number?

The NPI number for Philip Keddy is 1679768162. It was assigned to this individual provider in the NPPES registry on September 8, 2007.

Where is Philip Keddy located?

Philip Keddy practices at 5625 College Ave 216, Oakland, CA 94618. The listed phone number is (510) 655-8824.

What is Philip Keddy's specialty?

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

Is Philip Keddy enrolled in Medicare?

No. Philip Keddy has opted out of Medicare through October 1, 2026. 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 Philip Keddy was last updated on September 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.