Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Catherine Keohan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063041515

Catherine Keohan is a Physician Assistant in New Haven, Connecticut. Qualified in 2020, 6 years ago. Practices with Yale University, a 2,618-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (207) 737-7090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5127 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063041515
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2020
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Haven