Dr. Mary Kannankeril
Psychiatry & Neurology, Psychiatry in Montville, New Jersey
1629115126- Practice location
- 170 Changebridge RD, Building B3-4, Montville, NJ 07045-9115
- Phone
- 973-276-0041
- Fax
- —
- Last updated
- January 7, 2013
Mary Kannankeril is a Psychiatry & Neurology, Psychiatry based in Montville, NJ. Mary Kannankeril practices in Montville, NJ. The NPI Number for Mary Kannankeril is 1629115126 and holds a License No. MA39738 (NJ). The current practice location address for Mary Kannankeril is 170 Changebridge RD, Building B3-4, Montville, NJ 07045-9115 and can be reached out via phone at 973-276-0041.
Provider Profile Details
- NPI Number
- 1629115126
- Provider Name
- Mary Kannankeril
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 170 Changebridge RD, Building B3-4, Montville, NJ 07045-9115
- Phone Number
- 973-276-0041
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 31, 2007
- Last Update Date
- January 7, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Changebridge RD
Building B3-4
Montville, NJ 07045-9115 - City
- Montville
- State
- New Jersey
- Zip
- 07045-9115
- Phone Number
- 973-276-0041
Provider Business Mailing Address Details
- Address
- 38 Fox Run
North Caldwell, NJ 07006-4172 - City
- North Caldwell
- State
- NJ
- Zip
- 07006-4172
License Information
- License Number
- MA39738
- License State
- NJ
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · 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 Dr. Mary Kannankeril?
The NPI number of Dr. Mary Kannankeril is 1629115126. It was assigned on January 31, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary Kannankeril?
Dr. Mary Kannankeril is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number MA39738.
Where does Dr. Mary Kannankeril practice?
The practice location is 170 Changebridge RD, Building B3-4, Montville, NJ 07045-9115. The office can be reached at 973-276-0041 (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 1629115126 directly on the NPPES registry website.