Active NPI
Michele Adam LLC
- Adult Mental Health Clinic/Center
- Watertown, MA
National Provider Identifier
1235637455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- RN227357
- Legal business name
- MICHELE ADAM LLC
- Practice address
- 124 Watertown St # 3G
Watertown, MA 02472-2576 - Phone
- (978) 712-0343
- NPI assigned
- Jan 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michele Adam, NP
- Title
- Owner
- Phone
- (978) 712-0343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | RN227357 | MA | Primary |
Addresses
Primary practice location
124 Watertown St # 3G
Watertown, MA 02472-2576
Mailing address
3 Arrowhead LN
Beverly, MA 01915-1481
Phone (978) 808-4648
National Provider Directory
National Provider DirectoryLocations
124 Watertown St
#3G
Watertown, MA 02472
Phone (978) 712-0343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516665600000",
"number": "1235637455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ARROWHEAD LN",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151481",
"telephone_number": "978-808-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 WATERTOWN ST # 3G",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722576",
"telephone_number": "978-712-0343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELE ADAM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A",
"authorized_official_last_name": "ADAM",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-712-0343",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "MA",
"license": "RN227357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.