M Elyce Kearns, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

75462 Issued in MA

Practice address

4 Brook St Ste 25D
Scituate, MA 02066

Phone

(781) 561-6860

Fax

(855) 326-8994

NPI assigned

Feb 15, 2006

Last updated

May 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1598739765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 WARREN AVE",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020501600",
            "telephone_number": "617-216-6364",
            "fax_number": "855-326-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BROOK ST STE 25D",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "02066",
            "telephone_number": "781-561-6860",
            "fax_number": "855-326-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "M",
        "middle_name": "ELYCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "75462",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "75462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3138488",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "075462",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J16118",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D. Martin, PHD.P.C.
• An-Louise Johnson, DMD, MD
• Joanne Sadler Johnson, MSW
• Joanne L. Kaplan, MD
• Kashana Karim, MD
• Kelly Koch, DMD
• Amanda Kravitz, LICSW
• Elizabeth Lamay
• Ruth M. Lamprey, MD
• Nannette Landry, CNM

• Child & Adolescent Psychiatry Physician in Scituate, MA
• Providers in Scituate, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.