Kathleen L. Nelson, M.D., L.L.C., Adult Psychiatry

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

78498 Issued in MA

Legal business name

KATHLEEN L. NELSON, M.D., L.L.C., ADULT PSYCHIATRY

Practice address

100 Cummings Ctr
Suite 343F
Beverly, MA 01915-6115

Phone

(978) 338-5680

Fax

(978) 338-5681

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

Kathleen Louise Nelson, M.D.

Title

Owner/Manager/Sole Proprietor

Phone

(978) 338-5680

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1861627317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 343F",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-338-5680",
            "fax_number": "978-338-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 343F",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-338-5680",
            "fax_number": "978-338-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN L. NELSON, M.D., L.L.C., ADULT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/MANAGER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "978-338-5680",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "78498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1861627317",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1861627317",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "1861627317",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "1861627317",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold J Kaplan, D.M.D.
• Melissa J Kaplan, LMHC
• Crystal Kariores, FNP-C
• Susan Veronica Karol, MD
• Debra Kass, COTA
• Michael David Kaufman, MD
• Humera Kausar, M.D.
• Mary Kay
• Kaya Psychotherapy PLLC
• Basheer Kayali, MD

• Adult Mental Health Clinic/Center in Beverly, MA
• Providers in Beverly, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.