NPIMap

Organization Active NPI

The Coastal Center for Developing Minds

  • Mental Health Counselor
  • Norwell, MA
National Provider Identifier
1164718011
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4952 Issued in MA
Legal business name
THE COASTAL CENTER FOR DEVELOPING MINDS
Practice address
133 Washington St
Norwell, MA 02061-1755
Phone
(781) 878-3870
NPI assigned
Jun 20, 2011
Last updated
Jun 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Mrs. Phoebe Fulton Teare, LMHCNPI 1245396472
Title
President
Phone
(781) 878-3870

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
Mental Health Counselor 101YM0800X 4952 MA Primary

Addresses

Primary practice location

133 Washington St
Norwell, MA 02061-1755

Mailing address

133 Washington St
Norwell, MA 02061-1755
Phone (781) 878-3870

National Provider Directory

National Provider Directory

Locations

200 Cordwainer Dr
Norwell, MA 02061
Phone (781) 878-8340

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1164718011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611755",
            "telephone_number": "781-878-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611755",
            "telephone_number": "781-878-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COASTAL CENTER FOR DEVELOPING MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "TEARE",
        "authorized_official_first_name": "PHOEBE",
        "authorized_official_middle_name": "FULTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-878-3870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.