MARY C KANNANKERIL MD.,PA (NPI# 1538406574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538406574 |
Entity Type | Organization |
Organization Name | MARY C KANNANKERIL MD.,PA |
Practice Address |
170 Changebridge Rd Suite B 3-4 Montville NJ 07045-9115 |
Practice Telephone | 9732760041 |
Practice Fax Number | 9736281935 |
Mailing Telephone | 9732760041 |
Mailing Fax Number | 9736281935 |
Enumeration Date | 2013-01-10 |
Last Update Date | 2013-01-10 |
Authorized Official Name | MARY C KANNANKERIL (OWNER) |
Authorized Official Telephone | 9732760041 |
Authorized Official Credential | MD.PA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
Street Address |
170 CHANGEBRIDGE RD SUITE B 3-4 |
City | MONTVILLE |
State | NJ |
Zip Code | 07045-9115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295780286 | Berdj Feredjian | Dentist | 170 Changebridge Rd, Suite B-33, Montville, NJ 07045-9115 | 2006-05-24 |
1457749095 | Jaclyn Festa | Counselor | 170 Changebridge Rd, B3-2, Montville, NJ 07045-9115 | 2015-01-06 |
1770984528 | Primary Care Partners LLC | Family Medicine | 170 Changebridge Rd, Suite A3, Montville, NJ 07045-9115 | 2014-09-11 |
1043631294 | Pareen Raj Lapsiwala | Family Medicine | 170 Changebridge Rd, Suite C-3, Montville, NJ 07045-9115 | 2013-12-13 |
1760757884 | Changebridge Medical Associates, Pa | Non-Pharmacy Dispensing Site | 170 Changebridge Rd, C-3, Montville, NJ 07045-9115 | 2012-03-22 |
1699044305 | Kowalski Family Dental, P.C. | Dentist | 170 Changebridge Rd, Suite A2, Montville, NJ 07045-9115 | 2011-12-26 |
1457640534 | Roxanne N Kiupe | Massage Therapist | 170 Changebridge Rd, Unit A4 Suite 3, Montville, NJ 07045-9115 | 2011-03-29 |
1043473309 | Sandra Hoenig | Family Medicine | 170 Changebridge Rd, Suite C3, Montville, NJ 07045-9115 | 2008-07-08 |
1295993475 | Mary Jo Reid | Social Worker | 170 Changebridge Rd, Suite B 3-2, Montville, NJ 07045-9115 | 2008-05-24 |
1316145030 | Lisa Labrunda | Social Worker | 170 Changebridge Rd, Bldg B#, Montville, NJ 07045-9115 | 2007-07-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780160655 | Jkf Consulting | Psychologist | 120 Ridge Dr, Montville, NJ 07045 | 2018-07-13 |
1215466651 | Raymond Scott Giordano | Home Health Aide | 150 River Road Suite F1, Montville, NJ 07045 | 2017-06-08 |
1275942732 | Falcon Medical Corp | Ambulance | 10 Joan Dr, Montville, NJ 07045 | 2014-08-10 |
1467875708 | Alyssa Puorro | Chiropractor | 20 Cambray Road, Montville, NJ 07045 | 2014-01-22 |
1376985085 | Peaceful Journey | Counselor | 328 Changebridge Road, Montville, NJ 07045 | 2013-07-23 |
1457639908 | Ellen Marie Ruban | Social Worker | 390 Main Rd., Montville, NJ 07045 | 2011-08-02 |
1215251228 | Hetal Sojitra | Physical Therapist | 115 Horseneck Rd Ste 5, Montville, NJ 07045 | 2010-03-19 |
1447452693 | Tara Ann Gieger | Dental Hygienist | 140 River Road, Suite J-2, Montville, NJ 07045 | 2007-06-01 |
1023219565 | Joyce Levine Stern | Social Worker | 170 Changebridge Road, Suite C2, Montville, NJ 07045 | 2007-05-31 |
1174683478 | Montville Pharmacy Nj Corp | Pharmacy | 185 Changebridge Road, Montville, NJ 07045 | 2006-12-10 |
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Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255445128 | Caroline P Farrales | Psychiatry & Neurology | 170 Changebridge Rd Bldg B34, Montville, NJ 07045-9114 | 2006-08-18 |
1932192168 | Roberto L Caga-anan | Psychiatry & Neurology | 390 Main Rd, Montville, NJ 07045-9785 | 2005-08-23 |
1902936032 | Valerie Sylvia Verde | Psychiatry & Neurology | 390 Main Rd, Montville, NJ 07045-9785 | 2007-03-07 |
1629115126 | Mary Kannankeril | Psychiatry & Neurology | 170 Changebridge Rd, Building B3-4, Montville, NJ 07045-9115 | 2007-01-31 |
1316097918 | Norma Borja Talbo | Psychiatry & Neurology | 390 Main Rd, Montville, NJ 07045 | 2007-01-12 |
1154497733 | Filipinas Robles Fuertes | Psychiatry & Neurology | 390 Main Rd, Montville, NJ 07045-9785 | 2006-11-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568060580 | Neuropsychiatric Consultants PC | Psychiatry & Neurology | 489 Clifton Ave, Clifton, NJ 07011-3227 | 2020-10-12 |
1396354130 | Dignipsych Health Services | Psychiatry & Neurology | 1951 N Black Horse Pike, Williamstown, NJ 08094-3465 | 2020-07-28 |
1790309862 | Success Tms Professional Services New Jersey LLC | Psychiatry & Neurology | 240 Frisch Ct Ste 101, Paramus, NJ 07652-5249 | 2020-06-03 |
1851912596 | Labyrinth Psychiatry Group LLC | Psychiatry & Neurology | 1503 Saint Georges Ave Ste 201, Colonia, NJ 07067-3427 | 2020-05-05 |
1740829167 | Medical Psychiatric Associates LLC | Psychiatry & Neurology | 116 Village Blvd Ste 200, Princeton, NJ 08540-5700 | 2020-01-02 |
1003453986 | Genpsych Flemington | Psychiatry & Neurology | 200 Route 31 Ste 104, Flemington, NJ 08822-5812 | 2019-12-10 |
1730725052 | Ketamine Treatment Centers of Princeton, LLC | Psychiatry & Neurology | 91 S Jefferson Rd Ste 301, Whippany, NJ 07981-1037 | 2019-11-21 |
1205471042 | Yang Tms Center of New Jersey | Psychiatry & Neurology | 999 Route 73 N Ste 200a, Marlton, NJ 08053-1227 | 2019-11-15 |
1942868641 | Brightmindsmd LLC | Psychiatry & Neurology | 123 South Ave E, Westfield, NJ 07090-1454 | 2019-05-29 |
1699238741 | Comprehensive Behavioral Health Medicine | Psychiatry & Neurology | 121 Mountain Ct Ste 114, Hackettstown, NJ 07840-2317 | 2019-04-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.