Organization Active NPI

Wellesley Hills PCMH

  • Primary Care Clinic/Center
  • Wellesley, MA
National Provider Identifier
1073856076
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WELLESLEY HILLS PCMH
Practice address
65 Walnut St
Suite 440
Wellesley, MA 02481-2118
Phone
(781) 235-9089
Fax
(781) 237-5121
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Mr. Matthew Jason Dupee, M.ED
Title
President
Phone
(781) 472-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

65 Walnut St
Suite 440
Wellesley, MA 02481-2118

Mailing address

65 Walnut St
Suite 440
Wellesley, MA 02481-2118
Phone (781) 235-9089

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1073856076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 440",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-235-9089",
            "fax_number": "781-237-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 440",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-235-9089",
            "fax_number": "781-237-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY HILLS PCMH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "DUPEE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-472-0891",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.