Individual provider Active NPI

Andrea Maitinsky Keins, PH.D. PSYCHOLOGIST

  • Psychologist
  • Amherst, MA
National Provider Identifier
1467580175
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Oct 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1300881MedicaidMA
0300050OtherMAMBHP

Other names 1

  • Andrea Keins Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.