Maureen A Malin, M.D.
Individual provider Active NPI Psychiatry Physician · Princeton, MA
NPI 1043383847 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043383847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 56998 (MA)
- Practice address
- McLean Center at Fernside
162 Mountain Road
Princeton, MA 01541 - Phone
- (978) 464-2141
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041227000360 | MA | Practitioner - Psychiatry |
6002874864 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56998 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Current |
Accepting new patients | |
| The McLean Hospital Corporation | Psychiatry | Current |
Accepting new patients |
| The Commonwealth of Massachusetts | Current |
Accepting new patients | |
| The McLean Hospital Corporation | Past | Accepting new patients | |
| Emerson Hospital | Past | Accepting new patients |
Locations
115 Mill St
Stop 233
Belmont, MA 02478
115 Mill St
Belmont, MA 02478
Phone (617) 855-2000
23 Isaac St
Middleboro, MA 02346
Phone (774) 419-1000
830 County Rd
Pocasset, MA 02559
Phone (508) 564-9600
60 Hodges Ave
Taunton, MA 02780
Phone (508) 977-3134
Interoperability endpoints
- malin.maureen.mcl@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 56998 | MA | Yes |
Addresses
Primary practice location
McLean Center at Fernside
162 Mountain Road
Princeton, MA 01541
Mailing address
115 Mill St
Belmont, MA 02478-1041
Phone (978) 464-2141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J06654 | Other | MA | BCBS |
Other providers in Princeton, MA
- Kendra Ann Johnson
- Frank Joseph Koch
- Anne McCauley Kulakowski
- Dana Lorway
- Montgomery Lyons
- Beth Martin
- Rebecca Mathews
- Michael S Morgan Jr.
- Mountain Speak Speech Therapy, L.L.C.
- Moving Mountains Counseling and Wellness Collective, PLLC
All providers in Princeton, MA · Psychiatry Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.