Individual provider Active NPI

Mary Helen Hanessian, MD

  • Psychiatry Physician
  • Athens, OH
National Provider Identifier
1508003294
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35-127047 Issued in OH
Practice address
90 Hospital Dr
Athens, OH 45701-2301
Phone
(740) 593-3682
Fax
(740) 593-8659
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-127047 OH Primary

Addresses

Primary practice location

90 Hospital Dr
Athens, OH 45701-2301

Mailing address

90 Hospital Dr
Athens, OH 45701-2301
Phone (740) 593-3682

Other names 1

  • Mary Helen Kenny Former name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-127047OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Health Centers Inc CurrentSince Aug 10, 2015 Accepting new patients
Hopewell Health Centers, Inc. CurrentSince Aug 10, 2015 Accepting new patients
Center for Psychiatric Care Psychiatry PastSince Aug 28, 2000 Accepting new patients

Locations

90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091

1049 Western Ave
Chillicothe, OH 45601
Phone (740) 773-1006

Organizations & group practices 3

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": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1508003294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOSPITAL DR",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012301",
            "telephone_number": "740-593-3682",
            "fax_number": "740-593-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HOSPITAL DR",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012301",
            "telephone_number": "740-593-3682",
            "fax_number": "740-593-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANESSIAN",
        "first_name": "MARY",
        "middle_name": "HELEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-127047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KENNY",
            "middle_name": "HELEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.