Individual provider Active NPI

Jennifer Marchesani Keyvan, PSYD

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1942431390
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4444 Issued in NC
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

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130611000852 NC Practitioner - Clinical Psychologist 2163607318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4444NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Integrative Wellness Solutions, PLLC Psychologist CurrentSince Jul 1, 2026 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 10, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 10, 2023 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.

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

Verify at the official NPI Registry.