Mathieu Bermingham, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

219888 Issued in MA

Practice address

142 Exchange St
Millis, MA 02054-1212

Phone

(508) 376-6018

Fax

(508) 376-6070

NPI assigned

Feb 15, 2006

Last updated

Jan 31, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mathieu Bermingham Dba Center for Well Being

  • Adolescent and Children Mental Health Clinic/Center
  • Millis, MA
  • NPI 1558543439
  NPD Authorized official
• Metro West Center for Well Being, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Franklin, MA
  • NPI 1306202189
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1023082187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 EXCHANGE ST",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541212",
            "telephone_number": "508-376-6018",
            "fax_number": "508-376-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 EXCHANGE ST",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541212",
            "telephone_number": "508-376-6018",
            "fax_number": "508-376-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMINGHAM",
        "first_name": "MATHIEU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "219888",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "219888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Edda Amalfi
• Maxwell Aniconi, DMD
• Jennifer Lee Arvidson, CCLS
• Awenasa Home Inc.
• Sudi Baker, NP FNP-BC
• Patricia Drummey Bermingham, RN, LMHC
• Megan D Bickford, LICSW
• Brandon Bly, DC, MS
• Noah Borgondy, MS, BCBA, LABA
• Steven L. Bornstein, D.O.

• Child & Adolescent Psychiatry Physician in Millis, MA
• Providers in Millis, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.