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DR. MARY KANNANKERIL
NPI 1629115126
Psychiatry & Neurology - Psychiatry in Montville, NJ

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
170 CHANGEBRIDGE RD, BUILDING B3-4, MONTVILLE, NJ 07045(973) 276-0041 Get Directions Write a Review

NPPES record last updated: January 7, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Kannankeril NPPES

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

DR. MARY KANNANKERIL (NPI 1629115126) is an individual psychiatry provider in Montville, New Jersey, licensed in New Jersey (MA39738) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1629115126
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARY KANNANKERIL
Location Address170 CHANGEBRIDGE RD, BUILDING B3-4Montville, NJ 07045-9115
Mailing Address38 Fox RunNorth Caldwell, NJ 07006-4172
Phone(973) 276-0041
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJanuary 7, 2013
✔ NPI 1629115126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · MA39738
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
170 CHANGEBRIDGE RD, Montville, NJ 07045
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Other Identifiers 1

Medicare ID-Type Unspecified456520NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary Kannankeril is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688622814
PECOS Enrollment IDI20050105000096
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
394 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
392 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANDRA HOENIG M.D,
Family Medicine
170 CHANGEBRIDGE RD, SUITE C3
MONTVILLE, NJ 07045
Morris County (973) 575-5540
DR. PAREEN RAJ LAPSIWALA D.O.
Family Medicine
170 CHANGEBRIDGE RD, SUITE C-3
MONTVILLE, NJ 07045
Morris County (973) 575-5540
MRS. ANNE K EFFRON MSW, LCSW, BCD
Social Worker (Clinical)
170 CHANGEBRIDGE RD, SUITE C-4
MONTVILLE, NJ 07045
Morris County (973) 794-6565
MONTVILLE ORTHODONTIC ASSOCIATES
Dentist (Orthodontics and Dentofacial Orthopedics)
170 CHANGEBRIDGE RD, UNIT C 5-2
MONTVILLE, NJ 07045
Morris County (973) 227-1132
DR. MICHAEL CHARLES IBERER D.C.
Chiropractor
170 CHANGEBRIDGE RD, UNIT B-1
MONTVILLE, NJ 07045
Morris County (973) 575-1950
DR. BERDJ FEREDJIAN D.D.S.
Dentist (General Practice)
170 CHANGEBRIDGE RD, SUITE B-33
MONTVILLE, NJ 07045
Morris County (973) 575-5555
MARY JO REID LCSW
Social Worker (Clinical)
170 CHANGEBRIDGE RD, SUITE B 3-2
MONTVILLE, NJ 07045
Morris County (973) 895-5183
LISA LABRUNDA LCSW
Social Worker (Clinical)
170 CHANGEBRIDGE RD, BLDG B#
MONTVILLE, NJ 07045
Morris County (973) 951-0297

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 Mary Kannankeril's NPI number?

The NPI number for Mary Kannankeril is 1629115126. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Mary Kannankeril located?

Mary Kannankeril practices at 170 Changebridge Rd Building B3-4, Montville, NJ 07045. The listed phone number is (973) 276-0041.

What is Mary Kannankeril's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mary Kannankeril enrolled in Medicare?

Yes. Mary Kannankeril is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Kannankeril was last updated on January 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.