Maria Kechaidis, ED.M.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00382200 Issued in NJ

Practice address

90 W Main St
Freehold, NJ 07728-2144

Phone

(732) 766-6067

Fax

(732) 791-1408

NPI assigned

Jan 29, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Omni Behavioral Health Solutions, LLC

  • Psychologist
  • Freehold, NJ
  • NPI 1023285608
  NPD (past)
• Omni Behavioral Health Solutions, LLC

  • Mental Health Counselor
  • Freehold, NJ
  • NPI 1619486404

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1427296474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6902",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077286902",
            "telephone_number": "732-766-6067",
            "fax_number": "732-791-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282144",
            "telephone_number": "732-766-6067",
            "fax_number": "732-791-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECHAIDIS",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "ED.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00382200",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005989L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Katz, P.T.
• Harsimran Kaur, PA-C
• Karamjit Kaur, APN, NP-C
• Navjot Ariyana Kaur, M.D.
• Tejinder Kaur, MD
• Patrick Keeley, LSW
• C. Stephen Keklak, M.D.
• Kristen Kelly, CRNA
• Shannon Kelly
• Regina Kemper, PA

• Professional Counselor in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.