Massachusetts Physicians Group LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MASSACHUSETTS PHYSICIANS GROUP LLC

Practice address

446 Monterey Rd
Great Barrington, MA 01230

Phone

(480) 371-0180

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David Hendricks, MD

Title

Operating Officer

Phone

(480) 371-0180

Specialties & licenses 1

Addresses

Other names 1

• Massachusetts Physicians Group Doing business as

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1235852013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6613 N SCOTTSDALE RD STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 MONTEREY RD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "480-371-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-10-04",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPERATING OFFICER",
        "authorized_official_telephone_number": "480-371-0180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massachusetts Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Massachusetts Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Manto, DACM
• Emily Maple, PHD
• Jenny Margo, LICSW
• Rania Markham, MSW, LICSW
• Martha Klay, LLC
• Jaclynn Ann Mauke
• Bruce M McCarter, PSY.D.
• Meg Elizabeth McGonagle
• Elizabeth J McLaughlin, LICSW
• Claudia Meininger-Gold, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.