Organization Active NPI

Mark Frankel MD LLC

  • Geriatric Psychiatry Physician
  • Wellesley, MA
National Provider Identifier
1104450055
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
MARK FRANKEL MD LLC
Practice address
148 Linden St Ste 109
Wellesley, MA 02482-7916
Phone
(917) 575-1641
Fax
(781) 489-5476
NPI assigned
Mar 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Authorized official

Name
Mark Frankel, MD/PHDNPI 1649306077
Title
Owner/Provider
Phone
(917) 575-1641

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
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X Primary

Addresses

Primary practice location

148 Linden St Ste 109
Wellesley, MA 02482-7916

Mailing address

148 Linden St Ste 109
Wellesley, MA 02482-7916
Phone (917) 575-1641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200603000142 MA Part B Supplier - Clinic/Group Practice 8921429796 Receives reassigned benefits from 1 practitioner
Practice locations: Wellesley, MA

National Provider Directory

National Provider Directory

Locations

148 Linden St
Ste 109
Wellesley, MA 02482
Phone (917) 575-1641

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583020800000",
    "number": "1104450055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINDEN ST STE 109",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827916",
            "telephone_number": "917-575-1641",
            "fax_number": "781-489-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 LINDEN ST STE 109",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827916",
            "telephone_number": "917-575-1641",
            "fax_number": "781-489-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK FRANKEL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-01",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A",
        "authorized_official_last_name": "FRANKEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "917-575-1641",
        "authorized_official_credential": "MD/PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "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 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.