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TEWKSBURY PSYCHIATRY AND KETAMINE PLLC
NPI 1093685737
Nurse Practitioner - Psychiatric/Mental Health in Tewksbury, MA

Active since November 07, 2025
1445 MAIN ST STE 9, TEWKSBURY, MA 01876(978) 566-6747(978) 873-9901 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tewksbury Psychiatry And Ketamine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEWKSBURY PSYCHIATRY AND KETAMINE PLLC (NPI 1093685737) is a healthcare organization registered as a psychiatric/mental health in Tewksbury, Massachusetts and active in the NPI registry since November 2025. The organization lists George Karanja, Co-founder, as its authorized official.

NPPES Registry Identity

NPI1093685737
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTEWKSBURY PSYCHIATRY AND KETAMINE PLLC
Location Address1445 MAIN ST STE 9Tewksbury, MA 01876-2083
Mailing Address1445 Main St Ste 9Tewksbury, MA 01876-2083 · (978) 566-6747 · Fax (978) 873-9901
Phone(978) 566-6747
Fax(978) 873-9901
Organization SubpartNo
Authorized OfficialGeorge KaranjaCo-founder · (978) 566-6747
Enumeration DateNovember 7, 2025
NPPES CertifiedNovember 7, 2025
✔ NPI 1093685737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1445 MAIN ST STE 9, Tewksbury, MA 01876
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tewksbury Psychiatry And Ketamine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tewksbury Psychiatry And Ketamine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

George Karanja, PMHNP-BC
Nurse Practitioner
NPI 1235832957
1445 MAIN ST STE 9
Tewksbury, MA 01876
(978) 566-6747
✔ PECOS✔ Accepts MedicareSame address
Sarah Muchai, NP
Nurse Practitioner
NPI 1760861918
70 EAST ST
Methuen, MA 01844
(978) 687-0151
✔ PECOS9.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tewksbury Psychiatry And Ketamine PLLC's NPI number?

The NPI number for Tewksbury Psychiatry And Ketamine PLLC is 1093685737. It was assigned to this organization in the NPPES registry on November 7, 2025.

Where is Tewksbury Psychiatry And Ketamine PLLC located?

Tewksbury Psychiatry And Ketamine PLLC is located at 1445 Main St Ste 9, Tewksbury, MA 01876. The listed phone number is (978) 566-6747.

What is Tewksbury Psychiatry And Ketamine PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tewksbury Psychiatry And Ketamine PLLC enrolled in Medicare?

Yes. Tewksbury Psychiatry And Ketamine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tewksbury Psychiatry And Ketamine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Tewksbury Psychiatry And Ketamine PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tewksbury Psychiatry And Ketamine PLLC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.