Active NPIOrganization

Tewksbury Psychiatry And Ketamine PLLC

Nurse Practitioner, Psych/Mental Health in Tewksbury, Massachusetts

NPI Number1093685737
Practice location
1445 Main St Ste 9, Tewksbury, MA 01876-2083
Fax
978-873-9901
Last updated
November 7, 2025

Tewksbury Psychiatry And Ketamine PLLC is a healthcare organization based in Tewksbury, MA. Tewksbury Psychiatry And Ketamine PLLC practices in Tewksbury, MA. The NPI Number for Tewksbury Psychiatry And Ketamine PLLC is 1093685737. The current practice location address for Tewksbury Psychiatry And Ketamine PLLC is 1445 Main St Ste 9, Tewksbury, MA 01876-2083 and can be reached out via phone at 978-566-6747 and via fax at 978-873-9901.

Provider Profile Details

NPI Number
1093685737
Provider Name
Tewksbury Psychiatry And Ketamine PLLC
Provider Entity Type
Organization
Address
1445 Main St Ste 9, Tewksbury, MA 01876-2083
Phone Number
978-566-6747
Fax Number
978-873-9901
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
George Karanja, PMHNP-BC · Co-Founder · 978-566-6747
Provider Enumeration Date
November 7, 2025
Last Update Date
November 7, 2025
Certification Date
November 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1445 Main St Ste 9
Tewksbury, MA 01876-2083
Zip
01876-2083
Phone Number
978-566-6747
Fax Number
978-873-9901
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
1445 Main St Ste 9
Tewksbury, MA 01876-2083
City
Tewksbury
State
MA
Zip
01876-2083
Phone Number
978-566-6747
Fax Number
978-873-9901

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Tewksbury Psychiatry And Ketamine PLLC?

The NPI number of Tewksbury Psychiatry And Ketamine PLLC is 1093685737. It was assigned on November 7, 2025 and is currently active in the NPPES registry.

What is the specialty of Tewksbury Psychiatry And Ketamine PLLC?

Tewksbury Psychiatry And Ketamine PLLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Tewksbury Psychiatry And Ketamine PLLC practice?

The practice location is 1445 Main St Ste 9, Tewksbury, MA 01876-2083. The office can be reached at 978-566-6747 (phone) or 978-873-9901 (fax).

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 1093685737 directly on the NPPES registry website.

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