Organization Active NPI

Landmark Psychology

  • Adult Mental Health Clinic/Center
  • South Easton, MA
National Provider Identifier
1295203545
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LANDMARK PSYCHOLOGY
Practice address
45 Eastman St Ste 4
South Easton, MA 02375-1279
Phone
(508) 682-1334
NPI assigned
Nov 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

Name
Dr. Heather Walton Flynn, PHD
Title
Psychologist
Phone
(617) 780-0461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

45 Eastman St Ste 4
South Easton, MA 02375-1279

Mailing address

82 Rockland St
North Easton, MA 02356-2631
Phone (617) 780-0461

Other identifiers 1

IdentifierTypeStateIssuer
1053554568MedicaidMA

National Provider Directory

National Provider Directory

Locations

45 Eastman St
Ste 4
South Easton, MA 02375
Phone (508) 682-1334

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1295203545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 ROCKLAND ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023562631",
            "telephone_number": "617-780-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 EASTMAN ST STE 4",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751279",
            "telephone_number": "508-682-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "WALTON FLYNN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-780-0461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053554568",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.