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

Dr. Phillip Keck, PHD

Individual provider Psychologist · NPI 1083070536

Dr. Phillip Keck, PHD is a Clinical Psychologist in Richmond, Virginia. Qualified in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2016
Specialties on file
2
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

1630 Wilkes Ridge Pkwy Ste 105
Richmond, VA 23233-7460
Phone: (804) 270-7262
Fax: (804) 270-7264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 0810005353 (VA)
Health Psychologist Taxonomy 103TH0004X · Licence 0810005353 (VA)

Record details

NPI number1083070536
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 13, 2016
Last updated in NPPESJuly 26, 2021
Certification dateJuly 26, 2021
Mailing address11350 McCormick Rd Executive Plaza 1, Ste 501, Hunt Valley, MD 21031

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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