Individual provider Active NPI

Ashley Keane-Ames, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brookline, MA
National Provider Identifier
1407303274
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2293269 Issued in MA
Practice address
1 Brookline PL Ste 321
Brookline, MA 02445-7237
Phone
(617) 405-5735
Fax
(781) 551-3396
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2293269 MA Primary

Addresses

Primary practice location

1 Brookline PL Ste 321
Brookline, MA 02445-7237

Mailing address

1 Brookline PL Ste 321
Brookline, MA 02445-7237
Phone (617) 405-5735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170620001353 MA Practitioner - Nurse Practitioner 0042588816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

1 Brookline PL
Suite 321
Brookline, MA 02445-7237
Phone (716) 646-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2293269MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychological Services, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Clinical & Support Options, Inc CurrentSince May 6, 2017 Accepting new patients

Locations

1 Brookline Pl
Ste 321
Brookline, MA 02445
Phone (617) 405-5735

205 School St
Ste 301
Gardner, MA 01440
Phone (978) 488-8888

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.ashleykeaneames@139414.advancedmd-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1407303274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL STE 321",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457237",
            "telephone_number": "617-405-5735",
            "fax_number": "781-551-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL STE 321",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457237",
            "telephone_number": "617-405-5735",
            "fax_number": "781-551-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE-AMES",
        "first_name": "ASHLEY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2293269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.