Active NPI
Landmark Psychology
- Adult Mental Health Clinic/Center
- South Easton, MA
National Provider Identifier
1295203545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053554568 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
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.