Organization Active NPI

MDS Counseling Services, LLC

  • Adult Mental Health Clinic/Center
  • Cambridge, MA
National Provider Identifier
1316565005
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MDS COUNSELING SERVICES, LLC
Practice address
186 Alewife Brook Pkwy # 1019
Cambridge, MA 02138-1121
Phone
(202) 615-7420
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Michelle De SedasNPI 1568828580
Title
Owner
Phone
(202) 615-7420

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 1

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

Addresses

Primary practice location

186 Alewife Brook Pkwy # 1019
Cambridge, MA 02138-1121

Mailing address

186 Alewife Brook Pkwy # 1019
Cambridge, MA 02138-1121
Phone (202) 615-7420

National Provider Directory

National Provider Directory

Locations

186 Alewife Brook Pkwy
#1019
Cambridge, MA 02138
Phone (202) 615-7420

Practitioners & affiliated clinicians

Practitioners 1

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": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1316565005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 ALEWIFE BROOK PKWY # 1019",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381121",
            "telephone_number": "202-615-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 ALEWIFE BROOK PKWY # 1019",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381121",
            "telephone_number": "202-615-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "DE SEDAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-615-7420"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.