Moody Street Total Health, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2269 Issued in MA

Legal business name

MOODY STREET TOTAL HEALTH, INC.

Practice address

3 Common Street #2
Waltham, MA 02451

Phone

(978) 821-7054

Fax

(774) 208-0712

NPI assigned

Dec 23, 2005

Organization subpart

No

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

Authorized official

Name

Karen Lynn St.Laurent

Title

Owner

Phone

(978) 821-7054

Specialties & licenses 1

Addresses

Other identifiers 12

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Belesi, DC

  • Chiropractor
  • Hopkinton, MA
  • NPI 1083720668
  NPD (past)
• Sunit Jolly, DC

  • Chiropractor
  • Quincy, MA
  • NPI 1366461519
  NPD (past)
• Michael Keith York, D.C.

  • Chiropractor
  • Waltham, MA
  • NPI 1285664474
  NPD (past)

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1447237185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COMMON STREET #2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02451",
            "telephone_number": "978-821-7054",
            "fax_number": "774-208-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COMMON STREET #2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02451",
            "telephone_number": "978-821-7054",
            "fax_number": "774-208-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOODY STREET TOTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2021-07-21",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "ST.LAURENT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-821-7054"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "798431",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH PLAN",
            "identifier": "974044",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCVM",
            "identifier": "033487192",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1612913",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA INDIVIDUAL ID",
            "identifier": "Y36596",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA GROUP ID",
            "identifier": "Y39835",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "1867401004",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "2859278",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4404288",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9228734",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "27243",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "351902",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Maribel Molina, M.ED
• Sarah Flaherty Monahan, OTR/L
• Deborah A Mongeon, LICSW
• Marquetta Monroe, LMHC
• Rita M Montes, NP
• Cindy Moon, DMD
• Keira Moore, M.S., BCBA
• Ganesh Moorthy
• Andreina Jose Moreno Velasquez
• Liana Pena Morgens, PH.D.

• Chiropractor in Waltham, MA
• Providers in Waltham, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.