Organization
PSYCHIATRY AND PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN N KARANJA (CO-FOUNDER)
(413) 200-0769
Entity
Organization
Contact information
Practice address
15 BENTON DR STE 10, EAST LONGMEADOW, MA 01028-3232
(413) 200-0769
(877) 421-3866
Mailing address
15 BENTON DR STE 10, EAST LONGMEADOW, MA 01028-3232
(413) 200-0769
(877) 421-3866
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110187099A
—
MA
Enumeration date
01/31/2024
Last updated
07/09/2025
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