Ivy R Keller
Counselor, Mental Health in Malden, Massachusetts
1063284289- Practice location
- 389 Main St Fl 3, Malden, MA 02148-5054
- Phone
- 617-804-2773
- Fax
- —
- Last updated
- August 25, 2026
Ivy Rose Keller is a Counselor, Mental Health based in Malden, MA. Ivy Rose Keller practices in Malden, MA. The NPI Number for Ivy Rose Keller is 1063284289. The current practice location address for Ivy Rose Keller is 389 Main St Fl 3, Malden, MA 02148-5054 and can be reached out via phone at 617-804-2773.
Provider Profile Details
- NPI Number
- 1063284289
- Provider Name
- Ivy Rose Keller
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 389 Main St Fl 3, Malden, MA 02148-5054
- Phone Number
- 617-804-2773
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 23, 2023
- Last Update Date
- August 25, 2026
- Certification Date
- August 25, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 389 Main St Fl 3
Malden, MA 02148-5054 - City
- Malden
- State
- Massachusetts
- Zip
- 02148-5054
- Phone Number
- 617-804-2773
Provider Business Mailing Address Details
- Address
- 120 Maple St
Middleton, MA 01949-2228 - City
- Middleton
- State
- MA
- Zip
- 01949-2228
- Phone Number
- 978-395-6816
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ivy R Keller?
The NPI number of Ivy R Keller is 1063284289. It was assigned on October 23, 2023 and is currently active in the NPPES registry.
What is the specialty of Ivy R Keller?
Ivy R Keller is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Ivy R Keller practice?
The practice location is 389 Main St Fl 3, Malden, MA 02148-5054. The office can be reached at 617-804-2773 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063284289 directly on the NPPES registry website.