Active NPI
Cathy L Vandenheuvel, MD, PC
- Primary Care Clinic/Center
- Brookline, MA
National Provider Identifier
1245204528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 209071
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0165964 | Medicaid | MA | |
| 0102535 | Other | MA | UNITED HEALTHCARE |
| 209071 | Other | MA | TUFTS |
| 691784 | Other | MA | HCHP |
| 2725409 | Other | MA | AETNA |
| J23712 | Other | MA | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.