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

Dr. Mary Kannankeril

Individual provider Psychiatry Physician · NPI 1629115126

Dr. Mary Kannankeril is a Psychiatry in Montville, New Jersey. Qualified in 1975, 51 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
51
Licensed in
NJ
In the registry since
2007

Practice location Address checks out

170 Changebridge Rd Bldg B3-4
Montville, NJ 07045-9115
Phone: (973) 276-0041
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MA39738 (NJ)

Record details

NPI number1629115126
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJanuary 7, 2013
Mailing address38 Fox Run, North Caldwell, NJ 07006-4172

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Montville