KATHRYN M. KELLER PHD
NPI 1750541835
Psychologist in Janesville, WI

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
903 MINERAL POINT AVE, JANESVILLE, WI 53548(608) 756-5555(608) 756-0174 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kathryn M. Keller Phd NPPES

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

KATHRYN M. KELLER PHD (NPI 1750541835) is an individual psychologist in Janesville, Wisconsin, licensed in Wisconsin (2891-57) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1750541835
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATHRYN M. KELLERCredential: PHD
Location Address903 MINERAL POINT AVEJanesville, WI 53548-2970
Mailing Address903 Mineral Point AveJanesville, WI 53548-2970 · (608) 756-5555 · Fax (608) 756-0174
Fax(608) 756-0174
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 12, 2008
Last NPPES UpdateJanuary 16, 2017
✔ NPI 1750541835 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 WI · 2891-57
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3906125 (WI)
903 MINERAL POINT AVE, Janesville, WI 53548

Other Names 1

Former Name (1)Kathryn M. Bjerke

Other Identifiers 5

OtherKELLEKA2WI · Mercycare Insurance
Other1750541835WI · Bcbswi
Other1750541835WI · Dean Health Plan
Medicaid1750541835WI
Medicare PIN84908-0045WI

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

Kathryn M. Keller Phd 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 ID9739353467
PECOS Enrollment IDI20111115000646
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.

Counselor (Professional)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Social Worker (Clinical)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Counselor (Professional)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Psychologist (Clinical)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Counselor (Professional)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Counselor (Professional)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Psychologist (Clinical)
903 MINERAL POINT AVE
JANESVILLE, WI 53548
Social Worker (Clinical)
903 MINERAL POINT AVE
JANESVILLE, WI 53548

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 Kathryn Keller's NPI number?

The NPI number for Kathryn Keller is 1750541835. It was assigned to this individual provider in the NPPES registry on June 12, 2008. The provider is also known as Kathryn M. Bjerke.

Where is Kathryn Keller located?

Kathryn Keller practices at 903 Mineral Point Ave, Janesville, WI 53548. The listed phone number is (608) 756-5555.

What is Kathryn Keller's specialty?

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

Is Kathryn Keller enrolled in Medicare?

Yes. Kathryn 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.

What insurance does Kathryn Keller accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Quartz and 1 other insurer list Kathryn Keller 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 Kathryn Keller was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.