Kimsu Marder, Pmhnp-BC, CCM, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KIMSU MARDER, PMHNP-BC, CCM, PLLC

Practice address

110 Haverhill Rd Ste 455
Amesbury, MA 01913-2123

Phone

(978) 853-4019

Fax

(978) 792-5782

NPI assigned

May 18, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimsu Marder, PMHNP-BC, CCM

Title

Owner/Authorized Official

Phone

(978) 853-4019

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1003507260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 455",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132123",
            "telephone_number": "978-853-4019",
            "fax_number": "978-792-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 455",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132123",
            "telephone_number": "978-853-4019",
            "fax_number": "978-792-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMSU MARDER, PMHNP-BC, CCM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MARDER",
        "authorized_official_first_name": "KIMSU",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "978-853-4019",
        "authorized_official_credential": "PMHNP-BC, CCM"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perah S Kessman, MA
• Mary Elizabeth Keyes, PMHNP-BC
• Shabnam Khalifa
• Victoria Kilroy, MSPT
• Jieun Kim
• Eric Omar King, LICSW
• Regula Kissling
• Tori Kittrell
• Danielle Kline, PT, DPT, NCS
• Ruth Kranzke

• Psychiatric/Mental Health Nurse Practitioner in Amesbury, MA
• Providers in Amesbury, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.