Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael E. Keesler, JD, PHD

Individual provider Clinical Neuropsychologist · NPI 1609228022

Dr. Michael E. Keesler, JD, PHD is a Clinical Psychologist in Philadelphia, Pennsylvania. Qualified in 2014, 12 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2016
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

77 Rochelle Ave
Philadelphia, PA 19128-3809
Phone: (215) 704-9832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PS018050 (PA)

Record details

NPI number1609228022
Entity typeIndividual (Type 1)
GenderMale
Credentials JD , PHD
Sole proprietorNo
NPI enumeratedJuly 9, 2016
Last updated in NPPESNovember 5, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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