Judith Anne Keins, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A41706 Issued in CA

Practice address

520 Tamalpais Dr
Suite 100
Corte Madera, CA 94925-1558

Phone

(415) 927-7213

Fax

(415) 927-0949

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 26, 2014 through Oct 26, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychserv Medical Corporation

  • Psychiatry Physician
  • Corte Madera, CA
  • NPI 1316154172
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083821912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 TAMALPAIS DR",
            "address_2": "SUITE 100",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251558",
            "telephone_number": "415-927-7213",
            "fax_number": "415-927-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 TAMALPAIS DR",
            "address_2": "SUITE 100",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251558",
            "telephone_number": "415-927-7213",
            "fax_number": "415-927-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEINS",
        "first_name": "JUDITH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A41706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Kashef, DDS, MD
• Kathy Fowler Ans Associates
• Todd Kaufmann, R.N., DC. C.T.N.
• Caroline Mirei Kawashima, MS
• Lauren Kazanjian
• Nicolas Daniel James Kenig
• Khashayar Mohebali MD a Medical Corporation
• Rosemary Kim, L.AC
• Margot Kirschner, PSY.D.
• David Bryan Kitts, L.AC.

• Psychiatry Physician in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.