Cynthia McKallagat, CFM

Primary specialty

SpecialistTaxonomy code 174400000X

License

CFM01485 Issued in MA

Practice address

349 N Main St
Andover, MA 01810-2687

Phone

(978) 475-7779

Fax

(978) 475-1662

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144346537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FERNWOOD AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018358153",
            "telephone_number": "978-521-1492",
            "fax_number": "978-475-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 N MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102687",
            "telephone_number": "978-475-7779",
            "fax_number": "978-475-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKALLAGAT",
        "first_name": "CYNTHIA",
        "name_prefix": "Mrs.",
        "credential": "CFM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "CFM01485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408654",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "339354",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan McClune
• McCool Psychotherapy LLC
• Lisa Marie McCormick, PTA
• Kathleen L McCracken, COTA/L
• Chevonne Marie McGoey Brennan, MSW, LICSW
• Shawn W. McKallagat, PHARMACIST
• Kory McKay
• Deven K McKiernan, PA-C
• Meadhbh McManus, PT
• McNulty Hearing Companies LLC

• Specialist in Andover, MA
• Providers in Andover, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.