Collective Healing Center LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

265511 Issued in MA

Legal business name

COLLECTIVE HEALING CENTER LLC

Practice address

61 Main St
Stoneham, MA 02180-3346

Phone

(781) 729-0495

NPI assigned

Aug 17, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Noel Poirer, LIC. AC

Title

Acupuncturist

Phone

(781) 729-0495

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1023598273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803346",
            "telephone_number": "781-729-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803346",
            "telephone_number": "781-729-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "POIRER",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "781-729-0495",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIC. AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "265511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134673890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609066984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.