Individual provider Active NPI

Mary Ann Kezmarsky, PH.D.

  • Counseling Psychologist
  • Ho-Ho-Kus, NJ
National Provider Identifier
1467535922
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
02822 Issued in NJ
Practice address
31 Sheridan Avenue
Suite 1
Ho-Ho-Kus, NJ 07423
Phone
(201) 251-8555
Fax
(201) 251-9595
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 02822 NJ
Counseling Psychologist 103TC1900X 02822 NJ Primary

Addresses

Primary practice location

31 Sheridan Avenue
Suite 1
Ho-Ho-Kus, NJ 07423

Mailing address

PO Box 325
Ho-Ho-Kus, NJ 07423-0325
Phone (201) 251-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
02822NJMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Rehabilitation Services, Inc. Clinical Neuropsychologist Past Accepting new patients
Makraf LLC PastSince Dec 6, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467535922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "HO-HO-KUS",
            "state": "NJ",
            "postal_code": "074230325",
            "telephone_number": "201-251-8555",
            "fax_number": "201-251-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SHERIDAN AVENUE",
            "address_2": "SUITE 1",
            "city": "HO-HO-KUS",
            "state": "NJ",
            "postal_code": "07423",
            "telephone_number": "201-251-8555",
            "fax_number": "201-251-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEZMARSKY",
        "first_name": "MARY ANN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "02822",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "02822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ho-Ho-Kus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.