Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary C Kannankeril MD , PA

Organization Psychiatry Physician · NPI 1538406574

Mary C Kannankeril MD , PA is a Psychiatry Physician in Montville, New Jersey. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

170 Changebridge Rd Ste B 3-4
Montville, NJ 07045-9115
Phone: (973) 276-0041
Fax: (973) 628-1935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1538406574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Kannankeril — Owner · (973) 276-0041
NPI enumeratedJanuary 10, 2013
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing address170 Changebridge Rd, Suite B 3-4, Montville, NJ 07045-9115

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