Active NPI
Molly Ellen Toomey
- Counselor
- Worcester, MA
National Provider Identifier
1265781702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- S22616982
- Practice address
- 340 Main Street
Suite 818
Worcester, MA 01608 - Phone
- (508) 791-4976
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | S22616982 | MA | Primary |
Addresses
Primary practice location
340 Main Street
Suite 818
Worcester, MA 01608
Mailing address
152 Pilgrim Ave
Apt #1
Worcester, MA 01604
Phone (774) 364-0242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S22616982 | MA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Mental Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba South Bay Community Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1023096864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1265781702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 PILGRIM AVE",
"address_2": "APT #1",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01604",
"telephone_number": "774-364-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 MAIN STREET",
"address_2": "SUITE 818",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-791-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOOMEY",
"first_name": "MOLLY",
"middle_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "S22616982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.