Individual provider Active NPI

Michael Broderick Choate

  • Counselor
  • Whitman, MA
National Provider Identifier
1245589241
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
288 Bedford St
Whitman, MA 02382-1820
Phone
(781) 447-6425
Fax
(781) 447-1786
NPI assigned
Sep 5, 2012
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

288 Bedford St
Whitman, MA 02382-1820

Mailing address

288 Bedford St
Whitman, MA 02382-1820
Phone (781) 447-6425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307003833 MA Practitioner - Mental Health Counselor 5294171625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brockton Area Multi-Services, Inc.Group PAC ID 9133161953, 18 clinicians

Practice addresses (Care Compare)

288 Bedford St
Whitman, MA 02382-1820
Phone (781) 447-6425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Area Multi-Services, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Whitman Counseling PastSince Feb 1, 2024 Accepting new patients

Locations

288 Bedford St
Whitman, MA 02382
Phone (781) 447-6425

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1245589241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 BEDFORD ST",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821820",
            "telephone_number": "781-447-6425",
            "fax_number": "781-447-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 BEDFORD ST",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821820",
            "telephone_number": "781-447-6425",
            "fax_number": "781-447-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOATE",
        "first_name": "MICHAEL",
        "middle_name": "BRODERICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitman, MA

Sources for this page

Verify at the official NPI Registry.