Active NPI
Andrea Maitinsky Keins, PH.D. PSYCHOLOGIST
- Psychologist
- Amherst, MA
National Provider Identifier
1467580175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 274 N Pleasant St
Amherst, MA 01002-1725 - Phone
- (413) 237-0086
- NPI assigned
- Mar 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
274 N Pleasant St
Amherst, MA 01002-1725
Mailing address
PO Box 9627
Amherst, MA 01059-9627
Phone (413) 237-0086
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300881 | Medicaid | MA | |
| 0300050 | Other | MA | MBHP |
Other names 1
- Andrea Keins
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110121000427 | MA | Practitioner - Clinical Psychologist | 0446332001 | Practice locations: Amherst, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Pittsburgh School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
24 S Prospect St
Amherst, MA 01002-2229
Phone (413) 237-0086
24 S Prospect St
Suite 206
Amherst, MA 01002-2293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1467580175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9627",
"city": "AMHERST",
"state": "MA",
"postal_code": "010599627",
"telephone_number": "413-237-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 N PLEASANT ST",
"city": "AMHERST",
"state": "MA",
"postal_code": "010021725",
"telephone_number": "413-237-0086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAITINSKY KEINS",
"first_name": "ANDREA",
"credential": "PH.D. PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300881",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "0300050",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "KEINS",
"credential": "PH.D. PSYCHOLOGIST",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.