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

Dr. Ellen Keller, PSYD

Individual provider Clinical Psychologist · NPI 1083015879

Dr. Ellen Keller, PSYD is a Clinical Psychologist in Deer Park, New York. Qualified in 1995, 31 years ago. Practices with Bandl Cognitive Behavioral Psychology PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Licensed in
NY
In the registry since
2014
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

81 Lincoln Ave
Deer Park, NY 11729-7015
Phone: (631) 902-0505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 013125 (NY)

Record details

NPI number1083015879
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 11, 2014
Last updated in NPPESSeptember 11, 2014
Mailing address81 Lincoln Ave, Deer Park, NY 11729-7015

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Bandl Cognitive Behavioral Psychology Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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