SALLY KECKEISEN
NPI 1700566940
Psychologist in Saint Louis Park, MN

Active since July 21, 2023PECOS EnrolledAccepts Medicare Assignment
6600 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55426(952) 993-7700 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally Keckeisen NPPES

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

SALLY KECKEISEN (NPI 1700566940) is an individual psychologist in Saint Louis Park, Minnesota, licensed in Minnesota (LP7268) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Spokane, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700566940
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSALLY KECKEISEN
Location Address6600 EXCELSIOR BLVDSaint Louis Park, MN 55426-4744
Mailing Address8170 33rd Ave SBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 21, 2023
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
NPI 1700566940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP7268
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.
6600 EXCELSIOR BLVD, Saint Louis Park, MN 55426

Secondary Practice Location 1

Location 14815 N Assembly StSpokane, WA 99205-6185 · Phone (509) 434-7000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sally Keckeisen 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.

PECOS PAC ID6002303823
PECOS Enrollment IDI20251015002654
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Psychiatry & Neurology (Psychiatry)
6600 EXCELSIOR BLVD, CREEKSIDE BLDG SUITE 121
ST LOUIS PARK, MN 55426
Family Medicine
6600 EXCELSIOR BLVD, SUITE 100
ST LOUIS PARK, MN 55426
Family Medicine
6600 EXCELSIOR BLVD, SUITE 160
ST LOUIS PARK, MN 55426
Social Worker (Clinical)
6600 EXCELSIOR BLVD, STE 160
ST LOUIS PARK, MN 55426
Family Medicine
6600 EXCELSIOR BLVD, STE 160
ST LOUIS PARK, MN 55426
Pediatrics
6600 EXCELSIOR BLVD, 131
ST LOUIS PARK, MN 55426
Dentist (Periodontics)
6600 EXCELSIOR BLVD, 180
ST LOUIS PARK, MN 55426
Internal Medicine
6600 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

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 Sally Keckeisen's NPI number?

The NPI number for Sally Keckeisen is 1700566940. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Where is Sally Keckeisen located?

Sally Keckeisen practices at 6600 Excelsior Blvd, Saint Louis Park, MN 55426. The listed phone number is (952) 993-7700.

What is Sally Keckeisen's specialty?

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

Is Sally Keckeisen enrolled in Medicare?

Yes. Sally Keckeisen 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.

What insurance does Sally Keckeisen accept?

Health plans from HealthPartners list Sally Keckeisen 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 Sally Keckeisen was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.