Medoptions of Massachusetts LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MEDOPTIONS OF MASSACHUSETTS LLC

Practice address

84 State St
Suite 660
Boston, MA 02109-2202

Phone

(410) 832-2279

Fax

(860) 510-0020

NPI assigned

May 15, 2007

Last updated

Aug 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Dooley

Title

Cfo

Phone

(800) 370-3651

Specialties & licenses 15

Addresses

Other identifiers 3

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audur Bardardottir, RN, PMHNP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Newton, MA
  • NPI 1407921505

  Psychiatric/Mental Health, Adult

  NPD (past)
• Judith B Graber, LICSW

  • Clinical Social Worker
  • Needham, MA
  • NPI 1215284732
  NPD (past)
• Lisa Gwozdz, PSYD

  • Clinical Psychologist
  • Newton, MA
  • NPI 1801154414
  NPD (past)
• Nancy P Hubbard, LICSW

  • Clinical Social Worker
  • Needham, MA
  • NPI 1477892230
  NPD (past)
• Artilya Jones, NP

  • Gerontology Registered Nurse
  • Newton, MA
  • NPI 1972742930
  NPD (past)
• Patricia A. Koski, N.P

  • Gerontology Nurse Practitioner
  • Leominister, MA
  • NPI 1710073960
  NPD (past)
• Natalia Rydel, NP

  • Psychiatric/Mental Health Registered Nurse
  • Newton, MA
  • NPI 1700031341
  NPD (past)
• Ann Sullivan, NP

  • Nurse Practitioner
  • Hanover, MA
  • NPI 1881627610
  NPD (past)
• Laura Theodor Shibles, PHD

  • Clinical Psychologist
  • Newton, MA
  • NPI 1538110614
  NPD (past)
• Steven Tryder, PSYD

  • Clinical Psychologist
  • Newton, MA
  • NPI 1962797548
  NPD (past)
• Lucy Yee, PA-C

  • Physician Assistant
  • Newton, MA
  • NPI 1851540793
  NPD (past)
• Kathleen Burnett

  • Adult Health Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1245419886
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1053527028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HATCHETTS HILL RD",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711534",
            "telephone_number": "800-370-3651",
            "fax_number": "877-515-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 STATE ST",
            "address_2": "SUITE 660",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092202",
            "telephone_number": "410-832-2279",
            "fax_number": "860-510-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDOPTIONS OF MASSACHUSETTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-370-3651"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETO / RAILROAD MEDICARE",
            "identifier": "DG1569",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7001000W10663",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9793640",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Medline, MD
• Medmind LLC
• Lauren Michelle Mednick, PH.D.
• Benjamin David Medoff, MD
• David Medoff, PHD
• Corpierlina Medor
• Mitchell A Medow, MD
• Medpulse LLC
• Laura Medrano, LMHC
• Luisa Medrano, PSY.D.

• Psychiatry Physician in Boston, MA
• Providers in Boston, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.