Individual provider Active NPI

Molly McKeen, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Folsom, CA
National Provider Identifier
1457775769
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95002696 Issued in CA
Practice address
950 Glenn Dr Ste 235
Folsom, CA 95630-3193
Phone
(916) 990-9159
Fax
(916) 988-4937
NPI assigned
Feb 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 800683 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95002696 CA Primary

Addresses

Primary practice location

950 Glenn Dr Ste 235
Folsom, CA 95630-3193

Mailing address

3835 N. Freeway Blvd., Suite 100
Sacramento, CA 95834
Phone (916) 576-7900

Other practice location 1

545 Alameda Blvd
Coronado, CA 92118-1616
Phone (619) 740-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
800683CAMDRegistered Nurse
95002696CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Fresno CurrentSince Mar 6, 2017 Accepting new patients
County of Fresno CurrentSince Mar 6, 2017 Accepting new patients
Norcal Registered Nursing Practitioner Services, Inc. Psychiatric/Mental Health Current Accepting new patients
Mark David Levine, MD Burlingame PC CurrentSince Oct 1, 2017 Accepting new patients
Mark David Levine MD, Professional Corporation CurrentSince Oct 1, 2017 Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatric/Mental Health Current Accepting new patients

Locations

1590 Drew Ave
Ste 200
Davis, CA 95618
Phone (530) 297-7500

950 Glenn Dr
Ste 235
Folsom, CA 95630
Phone (916) 209-0533

4441 E Kings Canyon Rd
Fresno, CA 93702
Phone (559) 453-4099

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1457775769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N. FREEWAY BLVD., SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95834",
            "telephone_number": "916-576-7900",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 GLENN DR STE 235",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303193",
            "telephone_number": "916-990-9159",
            "fax_number": "916-988-4937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Alameda Blvd",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921181616",
            "country_code": "US",
            "telephone_number": "619-740-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEEN",
        "first_name": "MOLLY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "800683",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95002696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.