Moak Geriatric Psychiatry

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

MOAK GERIATRIC PSYCHIATRY

Doing business as

Moak Center for Healthy Aging

Practice address

5206 Union St BLDG 500
Westborough, MA 01581-5418

Phone

(508) 898-8650

Fax

(508) 870-9793

NPI assigned

Aug 10, 2006

Last updated

May 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary S Moak, M.D.

Title

Manager

Phone

(508) 898-8650

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Moak Center for Healthy Aging Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel A D'Andrea, M.D.

  • Psychiatry Physician
  • Holmdel, NJ
  • NPI 1992763866
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1316958093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 UNION ST BLDG 500",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015815418",
            "telephone_number": "508-898-8650",
            "fax_number": "508-870-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 UNION ST BLDG 500",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015815418",
            "telephone_number": "508-898-8650",
            "fax_number": "508-870-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOAK GERIATRIC PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "MOAK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-898-8650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9729160",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "Q04047",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moak Center for Healthy Aging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Min S. Ahn, MD PC
• Mind Body Psychiatry
• Mindful Heart, LLC
• Kenneth P Mitchell Jr., M.D.
• Kun Miu
• Mohini Shindedmd PLLC
• Mohsen Noreldin MD MPH PLLC
• Wayne Moi
• Emily Moldoff
• Jennifer Molinari, PT

• Geriatric Psychiatry Physician in Westborough, MA
• Providers in Westborough, MA by specialty
• Geriatric Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.