Active NPIIndividual providerSole proprietor

Ms. Kimsu Marder, PMHNP-BC, CCM

Nurse Practitioner, Psych/Mental Health in Amesbury, Massachusetts

NPI Number1154086718
Practice location
110 Haverhill RD Ste 455, Amesbury, MA 01913-2123
Fax
—
Last updated
May 18, 2023

Kimsu Marder is a Nurse Practitioner, Psych/Mental Health based in Amesbury, MA. Kimsu Marder practices in Amesbury, MA and has the professional credentials of PMHNP-BC, CCM. The NPI Number for Kimsu Marder is 1154086718 and holds a License No. RN238057 (MA). The current practice location address for Kimsu Marder is 110 Haverhill RD Ste 455, Amesbury, MA 01913-2123 and can be reached out via phone at 978-853-4019.

Provider Profile Details

NPI Number
1154086718
Provider Name
Kimsu Marder
Credential
PMHNP-BC, CCM
Provider Entity Type
Individual
Gender
Female
Address
110 Haverhill RD Ste 455, Amesbury, MA 01913-2123
Phone Number
978-853-4019
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
November 8, 2021
Last Update Date
May 18, 2023
Certification Date
May 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Haverhill RD Ste 455
Amesbury, MA 01913-2123
Zip
01913-2123
Phone Number
978-853-4019
Amesbury, MA 01913Get directions →

Provider Business Mailing Address Details

Address
110 Haverhill RD Ste 455
Amesbury, MA 01913-2123
City
Amesbury
State
MA
Zip
01913-2123
Phone Number
978-853-4019
Fax Number
789-792-5782

License Information

License Number
RN238057
License State
MA
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 Ms. Kimsu Marder, PMHNP-BC, CCM?

The NPI number of Ms. Kimsu Marder, PMHNP-BC, CCM is 1154086718. It was assigned on November 8, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Kimsu Marder, PMHNP-BC, CCM?

Ms. Kimsu Marder, PMHNP-BC, CCM is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN238057.

Where does Ms. Kimsu Marder, PMHNP-BC, CCM practice?

The practice location is 110 Haverhill RD Ste 455, Amesbury, MA 01913-2123. The office can be reached at 978-853-4019 (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 1154086718 directly on the NPPES registry website.

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