PSYCHIATRY AND PRIMARY CARE NPI 1053174235

NPI Information

  • NPI: 1053174235
  • Provider Name: PSYCHIATRY AND PRIMARY CARE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 15 BENTON DR STE 10
    EAST LONGMEADOW, MA
    ZIP 01028
  • Phone: (413) 200-0769

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NPI Details

PSYCHIATRY AND PRIMARY CARE is a psychiatric/mental health nurse practitioner in East Longmeadow, MA. PSYCHIATRY AND PRIMARY CARE NPI is 1053174235. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15 BENTON DR STE 10
EAST LONGMEADOW, MA
ZIP 01028-232
Phone: (413) 200-0769
Fax: (877) 421-3866

The provider's authorized official is Kelvin N Karanja .
The authorized official title is Co-founder and has the following contact phone number (413) 200-0769.

The enumeration date for this NPI number is 1/31/2024 and was last updated on 7/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP0016XPsychologistPrescribing (Medical)No
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110187099AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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