Active NPI
Garapha Mezidor
- Mental Health Counselor
- Franklin, MA
National Provider Identifier
1316566581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11603
- Practice address
- 2 Master Dr
Franklin, MA 02038-3052 - Phone
- (617) 360-7210
- NPI assigned
- Apr 8, 2020
- Last updated
- Apr 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11603 | MA | Primary |
Addresses
Primary practice location
2 Master Dr
Franklin, MA 02038-3052
Mailing address
63 Harley Dr Apt 3
Worcester, MA 01606-1750
Phone (561) 703-3044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11603 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Handel Behavioral Health Services Inc | Current | Accepting new patients |
Locations
2 Master Dr
Franklin, MA 02038
Phone (401) 837-2620
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Franklin, MA
- NPI 1497353130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1316566581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 HARLEY DR APT 3",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016061750",
"telephone_number": "561-703-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MASTER DR",
"city": "FRANKLIN",
"state": "MA",
"postal_code": "020383052",
"telephone_number": "617-360-7210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZIDOR",
"first_name": "GARAPHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-08",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "11603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.