Principium, LLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

PRINCIPIUM, LLC

Doing business as

Principium

Practice address

128 Main St Ste 5
Sturbridge, MA 01566-1556

Phone

(508) 659-8585

Fax

(508) 659-8586

NPI assigned

Nov 12, 2021

Organization subpart

No

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

Authorized official

Name

Maryann Mathieu

Title

Billing Manager

Phone

(508) 418-6888

Specialties & licenses 1

Addresses

Other names 1

• Principium Doing business as

Locations

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1205592482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MAIN ST STE 5",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661556",
            "telephone_number": "508-659-8585",
            "fax_number": "508-659-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MAIN ST STE 5",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661556",
            "telephone_number": "508-659-8585",
            "fax_number": "508-659-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPIUM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "MATHIEU",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "508-418-6888"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Principium",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction Medicine (Psychiatry & Neurology) Physician in Sturbridge, MA
• Providers in Sturbridge, MA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.