Organization Active NPI

Well-Being, Incorporated

  • Psychologist
  • Stoneham, MA
National Provider Identifier
1205002045
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4192 Issued in MA
Legal business name
WELL-BEING, INCORPORATED
Practice address
271 Main St
Suite 205
Stoneham, MA 02180-3591
Phone
(781) 438-5550
Fax
(781) 438-5553
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Paul Glen McCormick, PH.D.NPI 1215001680
Title
President/Owner
Phone
(781) 438-5550

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 4192 MA Primary

Addresses

Primary practice location

271 Main St
Suite 205
Stoneham, MA 02180-3591

Mailing address

271 Main St
Suite 205
Stoneham, MA 02180-3591
Phone (781) 438-5550

Other identifiers 1

IdentifierTypeStateIssuer
9782249MedicaidMA

Other names 1

  • Paul McCormick, Ph.D. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080515000406 MA Part B Supplier - Clinic/Group Practice 2163591280 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly, MA; Salem, MA; Stoneham, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1205002045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 MAIN ST",
            "address_2": "SUITE 205",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803591",
            "telephone_number": "781-438-5550",
            "fax_number": "781-438-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MAIN ST",
            "address_2": "SUITE 205",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803591",
            "telephone_number": "781-438-5550",
            "fax_number": "781-438-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-BEING, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "781-438-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9782249",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul McCormick, Ph.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.