Kelley Ann Macdougall

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

540 VFW Pkwy
West Roxbury, MA 02132-1332

Phone

(617) 325-2993

Fax

(617) 325-2994

NPI assigned

Jun 12, 2010

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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Services Institute, Inc.Group PAC ID 8224192968, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: macdougall.kelley.pfw@direct.partners.masshiway.net

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 Services Institute, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1255450631
  Medicare reassignment Care Compare group NPD
• Pediatric Specialists of Foxborough and Wrentham

  • Pediatrics Physician
  • Foxboro, MA
  • NPI 1023175908
  NPD
• Community Services Institute

  • Community/Behavioral Health Agency
  • Dorchester, MA
  • NPI 1114452828
  NPD (past)

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

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276300800000",
    "number": "1174844260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321332",
            "telephone_number": "617-325-2993",
            "fax_number": "617-325-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321332",
            "telephone_number": "617-325-2993",
            "fax_number": "617-325-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "KELLEY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-12",
        "last_updated": "2010-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Macadam
• Julianna Maccarone
• Jennifer Lee Macdonald, MSRD
• Kelly Robin Macdonald, PHARMD.
• Patricia K Macdonald, RD LDN CDE
• Amanda Marie Mack, LICSW
• Melissa Carolyn Mackinnon, R.N.
• Douglas J Maclaren, LIC. AC.
• Robert Clarke Macmaster, RRT
• James Alexander Macneill, CRNA

• Mental Health Counselor in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2010; 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.

Verify at the official NPI Registry.