NPIMap

Organization Active NPI

Child Health Center, Inc

  • Pediatrics Physician
  • Methuen, MA
National Provider Identifier
1265587943
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35420 Issued in MA
Legal business name
CHILD HEALTH CENTER, INC
Practice address
59 Lawrence St
Methuen, MA 01844-4447
Phone
(978) 685-0977
Fax
(978) 685-4394
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Evan Brodie, M.D.
Title
President
Phone
(978) 685-0977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 35420 MA Primary

Addresses

Primary practice location

59 Lawrence St
Methuen, MA 01844-4447

Mailing address

59 Lawrence St
Methuen, MA 01844-4447
Phone (978) 685-0977

National Provider Directory

National Provider Directory

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1265587943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 LAWRENCE ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444447",
            "telephone_number": "978-685-0977",
            "fax_number": "978-685-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 LAWRENCE ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444447",
            "telephone_number": "978-685-0977",
            "fax_number": "978-685-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "BRODIE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-685-0977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "35420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.