Active NPI
Maureen Ann McGovern, MD
- Psychiatry Physician
- Salem, MA
National Provider Identifier
1053424200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 56383
- Practice address
- 81 Highland Ave
Salem, MA 01970 - Phone
- (978) 354-4600
- Fax
- (978) 740-4849
- NPI assigned
- Aug 15, 2006
- Last updated
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56383 | MA | |
| Psychiatry Physician | 2084P0800X | 56383 | MA | Primary |
Addresses
Primary practice location
81 Highland Ave
Salem, MA 01970
Mailing address
81 Highland Ave
North Shore Health Systems
Salem, MA 01970
Phone (978) 354-4173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSPG Billing LLC | Past | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Psychiatry | Past | Accepting new patients |
| Melrose Wakefield Emergency Physicians, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1053424200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVE",
"address_2": "NORTH SHORE HEALTH SYSTEMS",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-354-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-354-4600",
"fax_number": "978-740-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOVERN",
"first_name": "MAUREEN",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "56383",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "56383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.