Mitchell Patino

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

730 Eastern Ave
Malden, MA 02148-5906

Phone

(617) 401-5583

NPI assigned

Sep 21, 2016

Last updated

Sep 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1114476942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WOLCOTT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021482841",
            "telephone_number": "617-401-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 EASTERN AVE",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485906",
            "telephone_number": "617-401-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "MITCHELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inn Jee Park, OD
• Tobey Hinden Parker Geller
• Nava Parvaneh
• Tulsi Patel, MD
• Liliana Patino
• Patriot Urgent Care Professionals PC (Afc Urgent Care Malden)
• Yana Patterson
• Paul E Tesone DDS (Middlesex Oral Surgery Services)
• Emmanuel Paul
• Karlah E Paul

• Social Worker in Malden, MA
• Providers in Malden, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.