NPIMap

Organization Active NPI

Tak Medical Group, P.C.

  • Psychiatry Physician
  • Leominster, MA
National Provider Identifier
1104270784
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TAK MEDICAL GROUP, P.C.
Practice address
1069 Central St
Leominster, MA 01453-4805
Phone
(401) 728-4455
NPI assigned
Apr 20, 2016
Last updated
Apr 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Payam Aghassi, MDNPI 1093704298
Title
President - Owner
Phone
(978) 728-4455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1069 Central St
Leominster, MA 01453-4805

Mailing address

14 Monument SQ
Suite 401
Leominster, MA 01453-5766
Phone (978) 728-4455

National Provider Directory

National Provider Directory

Locations

14 Monument Sq
Ste 401
Leominster, MA 01453
Phone (978) 728-4455

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1104270784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MONUMENT SQ",
            "address_2": "SUITE 401",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535766",
            "telephone_number": "978-728-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 CENTRAL ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014534805",
            "telephone_number": "401-728-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAK MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "AGHASSI",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "978-728-4455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.