Active NPI
MCCD FL Psychiatry Services PA
- Psychiatry Physician
- Boston, MA
National Provider Identifier
1386400489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MCCD FL PSYCHIATRY SERVICES PA
- Practice address
- 265 Franklin St Ste 1702
Boston, MA 02110-3144 - Phone
- (332) 378-9026
- NPI assigned
- Feb 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly K Limanni
- Title
- Sr Director of Revenue Cycle
- Phone
- (206) 643-3172
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
265 Franklin St Ste 1702
Boston, MA 02110-3144
Mailing address
109 W 27TH St Ste 5S
New York, NY 10001-0265
Phone (206) 643-3172
National Provider Directory
National Provider Directory- Tax ID family
- MCCD FL Psychiatry Services PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1386400489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 27TH ST STE 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100010265",
"telephone_number": "206-643-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 FRANKLIN ST STE 1702",
"city": "BOSTON",
"state": "MA",
"postal_code": "021103144",
"telephone_number": "332-378-9026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCD FL PSYCHIATRY SERVICES PA",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "LIMANNI",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "SR DIRECTOR OF REVENUE CYCLE",
"authorized_official_telephone_number": "206-643-3172"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.