Active NPI
Jennifer Marchesani Keyvan, PSYD
- Psychologist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4444
- Practice address
- 1942 E 7TH St Ste 220
Charlotte, NC 28204-2557 - Phone
- (704) 360-3637
- NPI assigned
- Aug 3, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4444 | NC | |
| Psychologist | 103T00000X | 4444 | NC | Primary |
Addresses
Primary practice location
1942 E 7TH St Ste 220
Charlotte, NC 28204-2557
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
1900 Randolph Rd Ste 800
Charlotte, NC 28207-1110
Phone (704) 384-1246
Other practice location 2
1820 East Blvd
Charlotte, NC 28203-5826
Phone (980) 349-8493
Other names 1
- Dr. Jennifer M Keyvan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4444 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Integrative Wellness Solutions, PLLC | Psychologist | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Grgich PC | Psychologist | Past | Accepting new patients |
Locations
1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171
1942 E 7th St
Ste 220
Charlotte, NC 28204
Phone (704) 777-0693
6324 Fairview Rd
Ste 460
Charlotte, NC 28210
Phone (980) 302-8611
845 Church St N
Ste 203
Concord, NC 28025
Phone (704) 316-5027
13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050
1401 Matthews Township Pkwy
Ste 320
Matthews, NC 28105
Phone (704) 316-9064
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Organizations & group practices 5
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Psychologist
- Mooresville, NC
- NPI 1447760871
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Psychiatry Physician
- Charlotte, NC
- NPI 1588610471
-
- Psychologist
- Pahrump, NV
- NPI 1124081757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1942431390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1942 E 7TH ST STE 220",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042557",
"telephone_number": "704-360-3637"
}
],
"practiceLocations": [
{
"address_1": "1900 Randolph Rd Ste 800",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282071110",
"country_code": "US",
"telephone_number": "704-384-1246",
"fax_number": "704-384-6072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1820 East Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035826",
"country_code": "US",
"telephone_number": "980-349-8493",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCHESANI KEYVAN",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-03",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4444",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "KEYVAN",
"middle_name": "M",
"prefix": "DR.",
"credential": "PSYD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.