Mary Elizabeth Keyes, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2371789 Issued in MA

Practice address

14 Cedar St # 107a
Amesbury, MA 01913-1831

Phone

(978) 358-1898

Fax

(978) 358-1899

NPI assigned

Nov 19, 2015

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 names 1

• Ms. Mary Elizabeth Kervandjian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• The Childrens Hospital of Philadelphia Practice Association

  • Child & Adolescent Psychiatry Physician
  • Philadelphia, PA
  • NPI 1477645232

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1730553371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CEDAR ST # 107A",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019131831",
            "telephone_number": "978-358-1898",
            "fax_number": "978-358-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CEDAR ST # 107A",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019131831",
            "telephone_number": "978-358-1898",
            "fax_number": "978-358-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "088764-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2371789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KERVANDJIAN",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly B Moscato
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• Karen Kent
• Mary Keohane
• Perah S Kessman, MA
• Shabnam Khalifa
• Victoria Kilroy, MSPT
• Jieun Kim
• Kimsu Marder, Pmhnp-BC, CCM, PLLC
• Eric Omar King, LICSW

• Psychiatric/Mental Health Nurse Practitioner in Amesbury, MA
• Providers in Amesbury, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.