Miguel Enrique Montesino Jr., M.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

20 Eastbrook Rd Ste 201
Dedham, MA 02026-2087

Phone

(781) 302-4600

NPI assigned

Aug 27, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Toward Independent Living & Learning, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dedham, MA
  • NPI 1992898035
  NPD (past)
• Toward Independent Living and Learning

  • Neurology Physician
  • Dedham, MA
  • NPI 1528294832
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1467768408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 PRESIDENTS WAY APT 3304",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264579",
            "telephone_number": "617-548-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EASTBROOK RD STE 201",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262087",
            "telephone_number": "781-302-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTESINO",
        "first_name": "MIGUEL",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Mirabella, LICSW
• Andrea Mischke, M.S. CCC-SLP
• Asiamonet Mitchell
• Drew M Mittelman, DMD
• Shahab Mohiuddin, M.D.
• Mary Kathryn Montgomery
• Sarah Marie Montgomery, MA
• Linda Marie Mooney, CPNP
• Sheeva Moradi
• Belma Moreira, MSW

• Clinical Social Worker in Dedham, MA
• Providers in Dedham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.