NPPES file of Aug 9, 2026

Ellen Keller, PSY.D.

Clinical Psychologist · Deer Park, NY

Ellen Keller, PSY.D. is a clinical psychologist with a practice address in Deer Park, New York, and NPI 1083015879, issued on Sep 11, 2014. Check the license (New York 013125, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1083015879
Name
Ellen Keller
Credential
PSY.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
013125 NY
Self-reported in NPPES; status is on the state search
Practice location
81 Lincoln Ave, Deer Park, NY 11729
Phone
(631) 902-0505
Enumerated
Sep 11, 2014
Record last updated
Sep 11, 2014 (not updated in 12 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20041027000318); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Ellen Keller in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 013125
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Bills Medicare through one group practice

  1. Bandl Cognitive Behavioral Psychology PLLCWest Islip, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ellen Keller among 6,558 clinical psychologist records in New York

Ellen Keller, PSY.D. is one of 6,558 clinical psychologist records with a practice address in New York. 7% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 66% of them.

  • NPI issued2014 · 66% of these records are older, 31% newer
  • In a Medicare fileYes · 7% of these records are
  • In the CMS Doctors and Clinicians fileYes · 19% of these records are
  • Graduated1995 · median 1996 among the 1,251 with a school on file
  • Record last updated2014 · 73% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Psychologist providers in New York

There are 6,558 clinical psychologist records in New York.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Richard Evangelista, PH.D.Deer Park, NY 117291215092978
  2. Natascha Santos, PSY. D.Deer Park, NY 117291679996193
  3. John Werner, PH.DDeer Park, NY 117291972669323
  4. Howard Hecht, PH.D.East Islip, NY 117301427126010
  5. Clifford Issacoff, PH DEast Islip, NY 117301750300844
  6. Julia Braun, PSY.D.East Northport, NY 117311508802943
  7. Marlene Kasman, PHDEast Northport, NY 117311831203892
  8. Jane Oberwager, PSY.D.E Northport, NY 117311851464127

Common questions

What is Ellen Keller, PSY.D.'s NPI number?

Ellen Keller, PSY.D.'s National Provider Identifier (NPI) is 1083015879, issued on Sep 11, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Ellen Keller, PSY.D. located?

The NPPES record lists a practice address at 81 Lincoln Ave, Deer Park, NY, 11729. Phone: (631) 902-0505. Providers update this record themselves, so call before visiting.

How can I verify Ellen Keller, PSY.D.'s license?

NPPES lists New York license number 013125, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.