MHM Health Professionals, Inc

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2269378 Issued in MA

Legal business name

MHM HEALTH PROFESSIONALS, INC

Practice address

Havard Road
Shirley, MA 01464

Phone

(978) 425-4341

NPI assigned

Feb 11, 2015

Last updated

Feb 11, 2015By 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

Dr. Tom Groblewski

Title

Statewide Medical Director

Phone

(508) 285-4018

Specialties & licenses 1

Addresses

Tax ID family

MHM Health Professionals Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MPCH

  • Exclusive Provider Organization
  • Providence, RI
  • NPI 1184010118
  NPD tax ID

Locations

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1073904140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 SPRING HILL RD",
            "address_2": "SUITE 610",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822245",
            "telephone_number": "703-749-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HAVARD ROAD",
            "city": "SHIRLEY",
            "state": "MA",
            "postal_code": "01464",
            "telephone_number": "978-425-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHM HEALTH PROFESSIONALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "GROBLEWSKI",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "STATEWIDE MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-285-4018",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "2269378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Shirley, MA
• Providers in Shirley, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.