Abigail Keenan, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DO2491 Issued in ME

Practice address

15 Saunders Way Ste 900
Westbrook, ME 04092-4836

Phone

(207) 878-9663

Fax

(855) 453-6899

NPI assigned

Jun 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Fern River Psychiatry, LLC

  • Adult Mental Health Clinic/Center
  • S Portland, ME
  • NPI 1538769203
  NPD Authorized official

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1598051989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SAUNDERS WAY STE 900",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924836",
            "telephone_number": "207-878-9663",
            "fax_number": "855-453-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SAUNDERS WAY STE 900",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924836",
            "telephone_number": "207-878-9663",
            "fax_number": "855-453-6899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Tandberg Trl",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040625841",
            "country_code": "US",
            "telephone_number": "207-893-0386",
            "fax_number": "207-893-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Market Street Ste 1A PMB 320",
            "address_purpose": "LOCATION",
            "city": "S Portland",
            "state": "ME",
            "postal_code": "041063646",
            "country_code": "US",
            "telephone_number": "207-956-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "ABIGAIL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "DO2491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren T Jordan, PA-C
• Laurie L Jordan, RN CERTIFIED
• Terry Lynn Jordan, LCSW
• Benjamin D Kapelson, LADC
• Brenna S Keefe, M.S. OTR/L
• Arlene M. Kellman, D.O.
• Sophia Kelly, BCBA
• Thomas John Kelly, LADC
• Catherine Ann Kemps, LCSW
• Sherry Kessler

• Psychiatry Physician in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.