Active NPI
Molly McKeen, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Folsom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95002696
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800683 | CA | MD | Registered Nurse |
| 95002696 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Fresno | Current | Accepting new patients | |
| County of Fresno | Current | Accepting new patients | |
| Norcal Registered Nursing Practitioner Services, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Mark David Levine, MD Burlingame PC | Current | Accepting new patients | |
| Mark David Levine MD, Professional Corporation | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- La Jolla, CA
- NPI 1902629538
-
- State or Local Public Health Clinic/Center
- Fresno, CA
- NPI 1174606420
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1770538001
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1154697944
Psychiatric/Mental Health
-
- Psychiatry Physician
- Davis, CA
- NPI 1689936569
-
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.