Robert R Fleck I, MED, CAGS, LMHC, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7906 Issued in MA

Practice address

348 Rantoul St
Suite 302
Beverly, MA 01915-3260

Phone

(978) 828-9400

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1407062870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 RANTOUL ST",
            "address_2": "SUITE 302",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153260",
            "telephone_number": "978-828-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 RANTOUL ST",
            "address_2": "SUITE 302",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153260",
            "telephone_number": "978-828-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECK",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "MED, CAGS, LMHC, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7906",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "3032698",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MA",
            "license": "389185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Burke Fitzpatrick, LICSW
• Kristin R Fiumara, PHARMD
• Anne M Flaherty, ATC
• Riley Flaherty
• Meaghan Winifred Flanagan, OTD, OTR/L
• Philip G Fleisher, LICSW
• Taryn M Flowers, NP
• Paul Neil Fluckiger, DMD
• Courtney Fogarty
• Shannon Lyn Fontaine, M.S.

• Mental Health Counselor in Beverly, MA
• Providers in Beverly, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.