Organization Active NPI

Fatcpc

Doing business as Complete Wellness

  • Assisted Living Facility
  • Cotuit, MA
National Provider Identifier
1083060230
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
815
Legal business name
FATCPC
Doing business as
Complete Wellness
Practice address
10 Main St
Cotuit, MA 02635-2518
Phone
(508) 280-3585
Fax
(508) 437-2555
NPI assigned
May 6, 2016
Last updated
May 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Carmen Patricia Fater, M.D.
Title
Owner/President
Phone
(508) 280-3585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 815 Primary

Addresses

Primary practice location

10 Main St
Cotuit, MA 02635-2518

Mailing address

10 Main St
Cotuit, MA 02635-2518
Phone (508) 280-3585

Other names 1

  • COMPLETE WELLNESS Doing business as

National Provider Directory

National Provider Directory

Locations

10 Main St
Cotuit, MA 02635
Phone (508) 428-1288

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1083060230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "city": "COTUIT",
            "state": "MA",
            "postal_code": "026352518",
            "telephone_number": "508-280-3585",
            "fax_number": "508-437-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "city": "COTUIT",
            "state": "MA",
            "postal_code": "026352518",
            "telephone_number": "508-280-3585",
            "fax_number": "508-437-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "FATER",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "508-280-3585",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": "815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPLETE WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cotuit, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.