DR. WALT KELLER HSPP
NPI 1891052908
Psychologist - Clinical in Bloomington, IN

Active since April 13, 2012
645 N WALNUT ST, BLOOMINGTON, IN 47404(812) 336-3570(812) 336-9010 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Walt Keller Hspp NPPES

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

DR. WALT KELLER HSPP (NPI 1891052908) is an individual clinical provider in Bloomington, Indiana, licensed in Indiana (20040042) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1891052908
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. WALT KELLERCredential: HSPP
Location Address645 N WALNUT STBloomington, IN 47404-3846
Mailing AddressPo Box 11Bloomington, IN 47402-0011 · (812) 336-3570 · Fax (812) 336-9010
Fax(812) 336-9010
Sole ProprietorNo
Enumeration DateApril 13, 2012
Last NPPES UpdateApril 16, 2012
NPI 1891052908 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 IN · 20040042
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.

645 N WALNUT ST, Bloomington, IN 47404

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
645 N WALNUT ST
BLOOMINGTON, IN 47404
Social Worker
645 N WALNUT ST
BLOOMINGTON, IN 47404
Social Worker
645 N WALNUT ST
BLOOMINGTON, IN 47404
Social Worker
645 N WALNUT ST
BLOOMINGTON, IN 47404
Counselor
645 N WALNUT ST
BLOOMINGTON, IN 47404
Social Worker (Clinical)
645 N WALNUT ST
BLOOMINGTON, IN 47404
Social Worker
645 N WALNUT ST
BLOOMINGTON, IN 47404
Counselor (Addiction (Substance Use Disorder))
645 N WALNUT ST
BLOOMINGTON, IN 47404

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 Walt Keller's NPI number?

The NPI number for Walt Keller is 1891052908. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Walt Keller located?

Walt Keller practices at 645 N Walnut St, Bloomington, IN 47404. The listed phone number is (812) 336-3570.

What is Walt Keller's specialty?

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

When was this NPI record last updated?

The NPPES record for Walt Keller was last updated on April 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.