Ahead Massachusetts Medical PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AHEAD MASSACHUSETTS MEDICAL PC

Practice address

6 Liberty SQ # 2523
Boston, MA 02109-5800

Phone

(855) 306-7786

Fax

(415) 367-3629

NPI assigned

Aug 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arun Gopal

Title

Owner

Phone

(855) 306-7786

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1003581307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LIBERTY SQ # 2523",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021095800",
            "telephone_number": "855-306-7786",
            "fax_number": "415-367-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LIBERTY SQ # 2523",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021095800",
            "telephone_number": "855-306-7786",
            "fax_number": "415-367-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHEAD MASSACHUSETTS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "GOPAL",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-306-7786"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerentia Atakora Agyemang
• Kenny Chia Ah-Lan
• Ahara Nutrition Counseling
• Victoria Aharon, PA-C
• Ahc Allied Healthcare of New England, Inc.
• Dineli N. Ahearn, M.D.
• David Kevin Ahern, PHD
• Diane Crawford Ahern, MS, CGC
• John Joseph Ahern II, PA-C
• Leah Ahern, RD

• Psychiatry Physician in Boston, MA
• Providers in Boston, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.