NPIMap

Organization Active NPI

Trustees of Phillips Academy

  • Student Health Clinic/Center
  • Andover, MA
National Provider Identifier
1295814812
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
EXEMPT Issued in MA
Legal business name
TRUSTEES OF PHILLIPS ACADEMY
Practice address
180 Main St
Andover, MA 01810-4166
Phone
(978) 749-4455
Fax
(978) 749-4452
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Dr. Amy Patel, M.D.NPI 1811175847
Title
Medical Director
Phone
(978) 749-4461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X EXEMPT MA Primary
General Acute Care Hospital 282N00000X 2165 MA

Addresses

Primary practice location

180 Main St
Andover, MA 01810-4166

Mailing address

180 Main St
Andover, MA 01810-4166
Phone (978) 749-4455

Other identifiers 1

IdentifierTypeStateIssuer
2226000910OtherMABCBS OF MASSACHUSETT

Other names 1

  • Isham Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

180 Main St
Andover, MA 01810
Phone (978) 749-4455

Practitioners & affiliated clinicians

Practitioners 6

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1295814812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104166",
            "telephone_number": "978-749-4455",
            "fax_number": "978-749-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104166",
            "telephone_number": "978-749-4455",
            "fax_number": "978-749-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF PHILLIPS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "978-749-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MA",
            "license": "EXEMPT",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "2165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASSACHUSETT",
            "identifier": "2226000910",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isham Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.