Organization Active NPI

Cathy L Vandenheuvel, MD, PC

  • Primary Care Clinic/Center
  • Brookline, MA
National Provider Identifier
1245204528
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
209071 Issued in MA
Legal business name
CATHY L VANDENHEUVEL, MD, PC
Practice address
1223 Beacon St
Suite E
Brookline, MA 02446-5302
Phone
(617) 879-1544
Fax
(617) 608-1113
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Dr. Cathy L Vandenheuvel, MD
Title
Director
Phone
(617) 953-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 209071 MA Primary

Addresses

Primary practice location

1223 Beacon St
Suite E
Brookline, MA 02446-5302

Mailing address

1223 Beacon St
Suite E
Brookline, MA 02446-5302
Phone (617) 879-1544

Other identifiers 6

IdentifierTypeStateIssuer
0165964MedicaidMA
0102535OtherMAUNITED HEALTHCARE
209071OtherMATUFTS
691784OtherMAHCHP
2725409OtherMAAETNA
J23712OtherMABCBS

National Provider Directory

National Provider Directory

Locations

1223 Beacon St
Ste E
Brookline, MA 02446
Phone (617) 879-1544

1180 Beacon St
Ste 2C
Brookline, MA 02446
Phone (617) 232-0440

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1245204528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 BEACON ST",
            "address_2": "SUITE E",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465302",
            "telephone_number": "617-879-1544",
            "fax_number": "617-608-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 BEACON ST",
            "address_2": "SUITE E",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465302",
            "telephone_number": "617-879-1544",
            "fax_number": "617-608-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHY L VANDENHEUVEL, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "VANDENHEUVEL",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-953-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "209071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165964",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0102535",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "209071",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCHP",
            "identifier": "691784",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2725409",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J23712",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.