Active NPI
Marina Ghayathrie Vijayakanthan, M.D.
- Child & Adolescent Psychiatry Physician
- North Andover, MA
National Provider Identifier
1164798617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 16653
- Practice address
- 800 Turnpike St Ste 300
North Andover, MA 01845-6156 - Phone
- (978) 794-5511
- Fax
- (978) 685-1048
- NPI assigned
- Mar 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 16653 | NH | Primary |
Addresses
Primary practice location
800 Turnpike St Ste 300
North Andover, MA 01845-6156
Mailing address
800 Turnpike St Ste 300
North Andover, MA 01845-6156
Phone (978) 794-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16653 | NH | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vijayakanthan Psychiatric Services, LLC | Child & Adolescent Psychiatry | Current | Accepting new patients |
Locations
800 Turnpike St
Ste 300
North Andover, MA 01845
Phone (978) 494-0441
218 East Rd
Hampstead, NH 03841
Phone (603) 329-5311
Interoperability endpoints
- marina.vijayakanthan@361010828083204.direct.elationemr.com
Organizations & group practices 1
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.
-
- Child & Adolescent Psychiatry Physician
- North Andover, MA
- NPI 1144851791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1164798617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 TURNPIKE ST STE 300",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456156",
"telephone_number": "978-794-5511",
"fax_number": "978-685-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 TURNPIKE ST STE 300",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456156",
"telephone_number": "978-794-5511",
"fax_number": "978-685-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIJAYAKANTHAN",
"first_name": "MARINA",
"middle_name": "GHAYATHRIE",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NH",
"license": "16653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.