Phillip Keck, PH.D.
NPI 1083070536ActiveIndividual· Psychologist· Richmond, VA
Psychologist (PH.D.) in Richmond, Virginia, licensed in VA, with an NPI issued in January 2016. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1083070536 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Jan 13, 2016 |
| Last updated in NPPES | Jul 26, 2021 |
| Certified by provider | Jul 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 0810005353 | VA |
| Psychologist, Health | 103TH0004X | 0810005353 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (TX) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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