The Concord Center, LLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

THE CONCORD CENTER, LLC

Practice address

747 Main St Ste 324
Concord, MA 01742-3302

Phone

(617) 947-3596

NPI assigned

May 23, 2019

Last updated

May 23, 2019By 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. Jamie A Micco, PHDNPI 1083816805

Title

Managing Partner

Phone

(617) 947-3596

Specialties & licenses 1

Addresses

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.

• Jamie A. Micco, PH.D.

  • Clinical Psychologist
  • Concord, MA
  • NPI 1083816805
  NPD Authorized official

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1376100487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 MAIN ST STE 324",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MAIN ST STE 324",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423302",
            "telephone_number": "617-947-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONCORD CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "MICCO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "617-947-3596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Catherine Taylor, N.P.
• Joyce S. Taylor, PH.D.
• Stacy A. Taylor, MD
• Lisa Temple, PH.D.
• Sophie Baron Termyn, LICSW
• The Norwell Group
• The Otolaryngology Group, P.C.
• Natasha Thivya Thiagalingam, DO
• Third Wave Therapy & Training PLLC
• Thomas a. Lamattina MD PC

• Cognitive & Behavioral Psychologist in Concord, MA
• Providers in Concord, MA by specialty
• Cognitive & Behavioral Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.