Mind Body Medical Associates, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PN97698 Issued in MA

Legal business name

MIND BODY MEDICAL ASSOCIATES, INC.

Practice address

824 Boylston St
Chestnut Hill, MA 02467-2508

Phone

(781) 373-9990

NPI assigned

Jul 25, 2008

Organization subpart

No

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

Authorized official

Name

Janet Kertis FronkNPI 1316003387

Title

President

Phone

(781) 373-9990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Janet Kertis Fronk, APRNBC

  • Psychiatric/Mental Health Registered Nurse
  • Weston, MA
  • NPI 1316003387
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1295990513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ASH ST",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 BOYLSTON ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672508",
            "telephone_number": "781-373-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "FRONK",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "KERTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-373-9990"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "PN97698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Milcetic Comer, M.D.
• Sarah Hannah Millan, MD
• Peter W. Miller, PT
• Rees Gray Miller, RN
• Elise Millward
• John Miner, PSY.D.
• Nataly Minkina, MD
• Kerry D Mitchell, PHD
• Mobi Denti
• Merle Ellen Monsein, MD

• Professional Counselor in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Professional Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.