| Keypath Behavioral Health Services | |
|
599 Canal St Fl 5 Lawrence MA 01840-1244 | |
| (978) 208-9034 | |
| Not Available |
| Full Name | Keypath Behavioral Health Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 599 Canal St Fl 5, Lawrence, Massachusetts |
| Authorized Official Name and Position | Stephen Kwamina Addison (PRESIDENT) |
| Authorized Official Contact | 9782089034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keypath Behavioral Health Services Po Box 133 Dracut MA 01826-0133 Ph: (978) 208-9034 | Keypath Behavioral Health Services 599 Canal St Fl 5 Lawrence MA 01840-1244 Ph: (978) 208-9034 |
| NPI Number | 1285349969 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 03/05/2023 |
| Certification Date | 03/05/2023 |
| Medicare PECOS PAC ID | 7618332156 |
|---|---|
| Medicare Enrollment ID | O20230505000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285349969 | NPI | - | NPPES |
| 001629245 | Other | MA | BUSINESS ID NUMBER |
| Provider Name | Mathew M Kiio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457704819 PECOS PAC ID: 8426364431 Enrollment ID: I20200224002099 |
| Provider Name | Patricia N Ngaruiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548593288 PECOS PAC ID: 3971966847 Enrollment ID: I20230824002302 |
| Provider Name | Stephen Addison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801916051 PECOS PAC ID: 6800117854 Enrollment ID: I20231023002041 |
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