Mitchell Wangh

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036913 Issued in MA

Legal business name

MITCHELL WANGH

Doing business as

Northboro Psychiatric Associates

Practice address

112 Main St
Northborough, MA 01532-1914

Phone

(508) 393-7223

Fax

(508) 393-7026

NPI assigned

Jul 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Micthell William Wangh, M.D.

Title

Owner of Practice

Phone

(508) 393-7223

Specialties & licenses 1

Addresses

Other names 1

• Northboro Psychiatric Associates 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.

• Mitchell W Wangh, M.D.

  • Psychiatry Physician
  • Northborough, MA
  • NPI 1669429247
  NPD (past)

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1427361211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321914",
            "telephone_number": "508-393-7223",
            "fax_number": "508-393-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321914",
            "telephone_number": "508-393-7223",
            "fax_number": "508-393-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL WANGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "WANGH",
        "authorized_official_first_name": "MICTHELL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "508-393-7223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "036913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northboro Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda D Miller, LICSW
• Robbin W Miller, LMHC
• Theresa V Mills, ARDMS
• Mind Body Healthlink
• Elizabeth Mintz
• Azita Mobini, RN
• Elena Moglia
• Alexander J Moheban, DMD
• David N Moheban, DMD
• Mansour Moheban, D.M.D.

• Psychiatry Physician in Northborough, MA
• Providers in Northborough, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.