Keystone Psychological Group, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA07642800 Issued in NJ

Legal business name

KEYSTONE PSYCHOLOGICAL GROUP, LLC

Doing business as

Keystone Psyhcological Group

Practice address

315 E Northfield Rd
Suite 3a
Livingston, NJ 07039-4896

Phone

(917) 549-0215

NPI assigned

Jul 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Christine Macmillan, M.D.

Title

Medical Director

Phone

(917) 549-0215

Specialties & licenses 4

Addresses

Other names 1

• Keystone Psyhcological Group Doing business as

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1942642095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 LAKE AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E NORTHFIELD RD",
            "address_2": "SUITE 3A",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394896",
            "telephone_number": "917-549-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PSYCHOLOGICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "MACMILLAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-549-0215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00038100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00138300",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00160600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07642800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Psyhcological Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elliot S Kerven, MD
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• Michael Kessler, M.D.
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• Hetvi Khambhati
• Bilal Khan
• Rashmi Khan
• Nitin Khandwala, R.PH.
• Yan Kharkover, DPT

• Psychiatry Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.