Individual provider Active NPI

Patrick James Doody, D.C.

  • Chiropractor
  • Cambridge, MA
National Provider Identifier
1467578864
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2770 Issued in MA
Practice address
122 Mount Auburn St
Cambridge, MA 02138-5715
Phone
(617) 441-0101
Fax
(617) 441-0100
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2770 MA Primary

Addresses

Primary practice location

122 Mount Auburn St
Cambridge, MA 02138-5715

Mailing address

PO Box 381970
Cambridge, MA 02238-1970
Phone (617) 441-0101

Other identifiers 1

IdentifierTypeStateIssuer
1607201MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707001232 MA Practitioner - Chiropractic 6800874801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kendall Square Therapeutic Health Center PCGroup PAC ID 7113084344, 4 clinicians

Practice addresses (Care Compare)

122 Mount Auburn St
Cambridge, MA 02138-5715
Phone (617) 441-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2770MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kendall Square Therapeutic Health Center, P.C. Chiropractor CurrentSince Mar 2, 2009 Accepting new patients
Backworks Past Accepting new patients

Locations

122 Mount Auburn St
Cambridge, MA 02138
Phone (617) 441-0101

15 Story St
Cambridge, MA 02138
Phone (617) 441-0101

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1467578864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381970",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "022381970",
            "telephone_number": "617-441-0101",
            "fax_number": "617-441-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385715",
            "telephone_number": "617-441-0101",
            "fax_number": "617-441-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOODY",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1607201",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.