Active NPI
Martin Barry Keller, MD
- Psychiatry Physician
- Weston, MA
National Provider Identifier
1801926829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 36012
- Practice address
- 381 Conant Rd
Weston, MA 02493-1763 - Phone
- (401) 455-6430
- Fax
- (401) 455-6441
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 3, 2008
- Sex
- Male
- 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 | 36012 | MA | Primary |
Addresses
Primary practice location
381 Conant Rd
Weston, MA 02493-1763
Mailing address
381 Conant Rd
Weston, MA 02493-1763
Phone (781) 373-5895
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36012 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1801926829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 CONANT RD",
"city": "WESTON",
"state": "MA",
"postal_code": "024931763",
"telephone_number": "781-373-5895",
"fax_number": "401-455-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 CONANT RD",
"city": "WESTON",
"state": "MA",
"postal_code": "024931763",
"telephone_number": "401-455-6430",
"fax_number": "401-455-6441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "MARTIN",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "36012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.