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DR. BROOKS RYAN KEESHIN M.D. NPI 1184812141


NPI Information

NPI: 1184812141
Provider Name: DR. BROOKS RYAN KEESHIN, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 662-3606
Get Directions

DR. Brooks Ryan Keeshin, M.D. is a child and adolescent psychiatry psychiatry neurology in Salt Lake City, UT. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Brooks Ryan Keeshin, M.D. NPI is 1184812141. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113-125
Phone: (801) 662-3606

The NPI 1184812141 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 11/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics63590491205UTAHNo
2208000000XPediatrics35095704OHIONo
32084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry35095704OHIONo
42084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry63590491205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.