MR. JOHN W KELLER PHD
NPI 1043248800
Psychologist in Destin, FL
NPI Status: Active since June 29, 2006
Contact Information
215 MOUNTAIN DR
STE. 106
DESTIN, FL
ZIP 32541
Phone: (850) 837-9100
Fax: (850) 837-3774
- Individual
- Male
- Psychologist
- PECOS Enrolled
About JOHN KELLER
This page provides the complete NPI Profile along with additional information for John Keller, a provider established in Destin, Florida with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1043248800 assigned on June 2006. The practitioner's primary taxonomy code is 103T00000X with license number PY2338 (FL). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1043248800
- Provider Name
- MR. JOHN W KELLER PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 215 MOUNTAIN DR STE. 106 DESTIN, FL 32541
- Location Phone
- (850) 837-9100
- Location Fax
- (850) 837-3774
- Mailing Address
- 215 MOUNTAIN DR STE. 106 DESTIN, FL 32541
- Mailing Phone
- (850) 837-9100
- Mailing Fax
- (850) 837-3774
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-29-2006
- Last Update Date
- 06-22-2011
- Code Navigator
A psychologist like John Keller studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PY2338
- License State
- FL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | PY2338 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 74093Z | MEDICARE PIN (08) | FL |
Medicare Participation & PECOS Enrollment Status
John Keller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MR. JOHN W KELLER PHD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 2 | 4 | 8 | 8 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 4 | 4 | 16 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 4 + 4 + 1 + 6 + 8 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1043248800 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710960273 | RANDELL RUDELL BROOKE PHD Individual | Counselor | 215 MOUNTAIN DR SUITE 106 DESTIN, FL 32541 (850) 837-9100 |
| 1972586444 | MR. MICHAEL BRADLEY STURDIVANT ED S LMHC Individual | Counselor | 215 MOUNTAIN DR EMERALD COAST COUNSELING CENTER #106 DESTIN, FL 32541 (850) 837-9100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043248800, enumerated in the NPI registry as an "individual" on June 29, 2006
The provider is located at 215 Mountain Dr Ste. 106 Destin, Fl 32541 and the phone number is (850) 837-9100
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).
This NPI record was last updated on June 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.