NPIMap

Organization Active NPI

Cape & Islands Cognitive Behavioral Institute

  • Clinical Psychologist
  • Falmouth, MA
National Provider Identifier
1043753585
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7644 Issued in MA
Legal business name
CAPE & ISLANDS COGNITIVE BEHAVIORAL INSTITUTE
Practice address
704 Main St
Falmouth, MA 02540-3200
Phone
(508) 457-3160
Fax
(508) 457-1255
NPI assigned
Dec 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Kristen Mulcahy, PHD
Title
Clincial Director
Phone
(508) 457-3160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 844 MA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 7644 MA Primary

Addresses

Primary practice location

704 Main St
Falmouth, MA 02540-3200

Mailing address

704 Main St
Falmouth, MA 02540-3200
Phone (508) 457-3160

Other practice location 1

4 Church Street
Vineyard Haven, MA 02568
Phone (508) 457-3160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043753585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 MAIN ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403200",
            "telephone_number": "508-457-3160",
            "fax_number": "508-457-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MAIN ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025403200",
            "telephone_number": "508-457-3160",
            "fax_number": "508-457-1255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Church Street",
            "address_purpose": "LOCATION",
            "city": "Vineyard Haven",
            "state": "MA",
            "postal_code": "02568",
            "country_code": "US",
            "telephone_number": "508-457-3160",
            "fax_number": "508-457-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPE & ISLANDS COGNITIVE BEHAVIORAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MULCAHY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CLINCIAL DIRECTOR",
        "authorized_official_telephone_number": "508-457-3160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "844",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.