Brain-Mind Institute of New England

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

70315 Issued in MA

Legal business name

BRAIN-MIND INSTITUTE OF NEW ENGLAND

Practice address

21 Highland Ave Ste 24
Newburyport, MA 01950-3873

Phone

(978) 462-1555

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Keith Ablow, MD

Title

Co-Owner/Sharholder

Phone

(978) 462-1555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1093200537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE STE 24",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503873",
            "telephone_number": "978-462-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE STE 24",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503873",
            "telephone_number": "978-462-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN-MIND INSTITUTE OF NEW ENGLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "ABLOW",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CO-OWNER/SHARHOLDER",
        "authorized_official_telephone_number": "978-462-1555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "70315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne Bourne, MD
• Kelly Bowen
• Zachary David Bowen, DMD
• Natasha Victoria Boydstun, DO
• Liza P Brackbill, LCSW
• Donna J Brezinski, M.D.
• Jeremy Brooks, PSYD
• Kennedy Lyn Brown, DC
• Janine Susan Brunell, BA
• Eric David Bucher, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.