Jeanne Marie McKeon, EDD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3419 Issued in MA

Practice address

83 Herrick St Ste 2005
Beverly, MA 01915-2757

Phone

(781) 639-2260

NPI assigned

Feb 22, 2006

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Feb 15, 2021 through Feb 15, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• David Tortorella MD LLC

  • Pediatrics Physician
  • Marblehead, MA
  • NPI 1114356284
  NPD (past)
• Maura McGrane, MD, PC

  • Specialist
  • Beverly, MA
  • NPI 1760481733
  NPD (past)
• The Beverly Center, P.C.

  • Clinical Child & Adolescent Psychologist
  • Beverly, MA
  • NPI 1275509663
  NPD (past)
• Wellcrest

  • Addiction Medicine (Family Medicine) Physician
  • Marblehead, MA
  • NPI 1366787194
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1689649568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 GRANITE ST APT 2",
            "city": "ROCKPORT",
            "state": "MA",
            "postal_code": "019661372",
            "telephone_number": "781-639-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HERRICK ST STE 2005",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152757",
            "telephone_number": "781-639-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "3419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antigone McHugh, M.S., CCC-SLP
• Alexandra McIntire, OTR/L
• Angus P McIntyre Jr., M.D.
• Nicole McKenna, OTR/L
• Adele McKeon-Millard
• Dennis Matthew McKinnon, PMHNP
• Richard Matthew McLarney, M.D.
• Corrie Grace McLaughlin
• Kelly McLaughlin
• Melissa McLaughlin

• Psychologist in Beverly, MA
• Providers in Beverly, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.