Active NPI
Michael Brennan Tolman, B.A.
- Counselor
- Worcester, MA
National Provider Identifier
1174811350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- S89167171
- Practice address
- 484 Main Street
Worcester, MA 01608 - Phone
- (508) 890-6519
- Fax
- (508) 363-0562
- NPI assigned
- Jul 21, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | S89167171 | MA | Primary |
Addresses
Primary practice location
484 Main Street
Worcester, MA 01608
Mailing address
36 North St
North Brookfield, MA 01535-1731
Phone (774) 262-5284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S89167171 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1174811350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 NORTH ST",
"city": "NORTH BROOKFIELD",
"state": "MA",
"postal_code": "015351731",
"telephone_number": "774-262-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 MAIN STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-890-6519",
"fax_number": "508-363-0562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLMAN",
"first_name": "MICHAEL",
"middle_name": "BRENNAN",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "S89167171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.