Active NPI
Asha B Keshavan, MD
- Psychiatry Physician
- New Bedford, MA
National Provider Identifier
1780622803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301082976
- Practice address
- 1061 Pleasant St
New Bedford, MA 02740-6728 - Phone
- (508) 996-8572
- Fax
- (508) 991-8618
- NPI assigned
- Jun 2, 2006
- Last updated
- Nov 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301082976 | MI | Primary |
Addresses
Primary practice location
1061 Pleasant St
New Bedford, MA 02740-6728
Mailing address
1061 Pleasant St
New Bedford, MA 02740-6728
Phone (508) 996-8572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301082976 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakland Family Services | Past | Accepting new patients | |
| Oakland Family Services | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/oaklandfamilyservices/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Royal Oak, MI
- NPI 1003003617
-
- Clinic/Center
- Pontiac, MI
- NPI 1598719395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1780622803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 PLEASANT ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027406728",
"telephone_number": "508-996-8572",
"fax_number": "508-991-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 PLEASANT ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027406728",
"telephone_number": "508-996-8572",
"fax_number": "508-991-8618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESHAVAN",
"first_name": "ASHA",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301082976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.