Keypath Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KEYPATH INC

Practice address

599 Canal St FL 5
Lawrence, MA 01840-1244

Phone

(978) 208-9034

NPI assigned

Jan 17, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Kwamina AddisonNPI 1801916051

Title

President

Phone

(978) 208-9034

Specialties & licenses 10

Addresses

Other identifiers 1

Other names 1

• KEYPATH BEHAVIORAL HEALTH SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Keypath Behavioral Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Keypath Inc

  • Home Health Agency
  • Lawrence, MA
  • NPI 1174238372
  NPD tax ID
• Keypath Inc

  • In Home Supportive Care Agency
  • Lawrence, MA
  • NPI 1265147474
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Addison, LICSW

  • Clinical Social Worker
  • Lawrence, MA
  • NPI 1801916051
  Medicare reassignment Authorized official
• Patricia Ngaruiya, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, MA
  • NPI 1548593288
  Medicare reassignment
• Chinyere Nwanesidu

  • Psychiatric/Mental Health Nurse Practitioner
  • Randolph, MA
  • NPI 1922887173
  Medicare reassignment

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1285349969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018260133",
            "telephone_number": "978-208-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 CANAL ST FL 5",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401244",
            "telephone_number": "978-208-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYPATH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "KWAMINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-208-9034",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS ID NUMBER",
            "identifier": "001629245",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEYPATH BEHAVIORAL HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KEYPATH BEHAVIORAL HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher G Kerivan I
• Lori Kerouac, M.A.
• Vrej Keusseyan
• Keypath Inc
• Keypath Inc
• Hien Kha, MLS
• Dahlia Ghazi Khankan, LICSW
• Nasima Khatoon, M.D.
• Marina Z Khitrik-Palchuk, M.D.
• Lawrence G Kidd, M.D.

• Community/Behavioral Health Agency in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.