Organization Active NPI

McKar, LLC

  • Group Psychotherapy Psychologist
  • Lawrence, MA
National Provider Identifier
1174932313
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
MCKAR, LLC
Practice address
170 Common St
Suite 204
Lawrence, MA 01840-1558
Phone
(617) 888-5275
Fax
(978) 655-4525
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Authorized official

Name
Mr. Ramon A Suarez-Martinez, MD
Title
Physician
Phone
(978) 655-1696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

170 Common St
Suite 204
Lawrence, MA 01840-1558

Mailing address

170 Common St
Suite 305
Lawrence, MA 01840-1558
Phone (978) 655-1696

Other names 1

  • IMU Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

170 Common St
Ste 204
Lawrence, MA 01840
Phone (617) 888-5275

170 Common St
Ste 305
Lawrence, MA 01840

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1174932313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 COMMON ST",
            "address_2": "SUITE 305",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401558",
            "telephone_number": "978-655-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 COMMON ST",
            "address_2": "SUITE 204",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401558",
            "telephone_number": "617-888-5275",
            "fax_number": "978-655-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "SUAREZ-MARTINEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "978-655-1696",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMU Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.