Organization Active NPI

Nyssa Matson-Keats, Licsw

  • Community/Behavioral Health Agency
  • Lexington, MA
National Provider Identifier
1558711838
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
111996 Issued in MA
Legal business name
NYSSA MATSON-KEATS, LICSW
Practice address
120 School St
Lexington, MA 02421-7432
Phone
(857) 998-0731
NPI assigned
Jun 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Mrs. Nyssas L Matson-Keats, LICSW
Title
Therapist
Phone
(857) 998-0731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 111996 MA Primary

Addresses

Primary practice location

120 School St
Lexington, MA 02421-7432

Mailing address

85 Cushing St
Cambridge, MA 02138-4581
Phone (857) 998-0731

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1558711838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CUSHING ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384581",
            "telephone_number": "857-998-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SCHOOL ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217432",
            "telephone_number": "857-998-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSSA MATSON-KEATS, LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "MATSON-KEATS",
        "authorized_official_first_name": "NYSSAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "857-998-0731",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "111996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.