Active NPI
Lynwood McCassie IV
- Psychologist
- Boston, MA
National Provider Identifier
1134597867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1601 Washington St
Boston, MA 02118-1951 - Phone
- (617) 425-2000
- NPI assigned
- Sep 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1601 Washington St
Boston, MA 02118-1951
Mailing address
1601 Washington St
Boston, MA 02118-1951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
43 Garrison Rd
Brookline, MA 02445-4445
Phone 61727781072240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookline Community Mental Health Center Inc. | Psychologist | Current | Accepting new patients |
Locations
43 Garrison Rd
Brookline, MA 02445
Phone (617) 277-8107
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Brookline, MA
- NPI 1881610244
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472860800000",
"number": "1134597867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181951",
"telephone_number": "617-425-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCASSIE",
"first_name": "LYNWOOD",
"name_prefix": "Mr.",
"name_suffix": "IV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-11",
"last_updated": "2016-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.