Individual provider Active NPI

Kelvin Karanja

  • Psychiatric/Mental Health Nurse Practitioner
  • Longmeadow, MA
National Provider Identifier
1831855782
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2325507 Issued in MA
Practice address
171 Dwight Rd Ste 103
Longmeadow, MA 01106-1768
Phone
(413) 200-0769
Fax
(877) 421-3866
NPI assigned
Nov 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2325507 MA Primary

Addresses

Primary practice location

171 Dwight Rd Ste 103
Longmeadow, MA 01106-1768

Mailing address

171 Dwight Rd Ste 103
Longmeadow, MA 01106-1768
Phone (413) 200-0769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221206000416 MA Practitioner - Nurse Practitioner 2668841198 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry and Primary CareGroup PAC ID 2264873991, 2 clinicians

Practice addresses (Care Compare)

15 Benton Dr
Suite 10
East Longmeadow, MA 01028-3232
Phone (412) 200-0769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc CurrentSince Dec 5, 2022 Accepting new patients
Springfield Medical LLC Psychiatric/Mental Health CurrentSince Nov 28, 2023 Accepting new patients
Psychiatry and Primary Care Psychiatric/Mental Health CurrentSince Mar 23, 2024 Accepting new patients
Center for Human Development, Inc. CurrentSince Dec 5, 2022 Accepting new patients
CT- Family Care Services, LLC PastSince Nov 1, 2021 Accepting new patients
Western Mass Home Health Services Inc PastSince Nov 1, 2021 Accepting new patients

Locations

15 Benton Dr
Ste 10
East Longmeadow, MA 01028
Phone (412) 200-0769

171 Dwight Rd
Ste 103
Longmeadow, MA 01106
Phone (413) 565-5115

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

2547 Main St
Springfield, MA 01107
Phone (413) 266-3462

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1831855782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 DWIGHT RD STE 103",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061768",
            "telephone_number": "413-200-0769",
            "fax_number": "877-421-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 DWIGHT RD STE 103",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061768",
            "telephone_number": "413-200-0769",
            "fax_number": "877-421-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANJA",
        "first_name": "KELVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2325507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.