NPIMap

Organization Active NPI

Psychiatric Mental Health Services

  • Adult Mental Health Clinic/Center
  • Woburn, MA
National Provider Identifier
1487004883
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
RN280868 Issued in MA
Legal business name
PSYCHIATRIC MENTAL HEALTH SERVICES
Practice address
155 New Boston St
Suite U-168
Woburn, MA 01801-6297
Phone
(781) 941-6326
NPI assigned
Jun 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Huong Madrigal, APRN, PMHNP-BCNPI 1033483383
Title
Owner
Phone
(781) 341-6326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X RN280868 MA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X RN280868 MA

Addresses

Primary practice location

155 New Boston St
Suite U-168
Woburn, MA 01801-6297

Mailing address

155 New Boston St
Suite U-168
Woburn, MA 01801-6297

National Provider Directory

National Provider Directory
Tax ID family
Psychiatric Mental Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

155 New Boston St
Ste U168
Woburn, MA 01801
Phone (781) 941-6326

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1487004883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 NEW BOSTON ST",
            "address_2": "SUITE U-168",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NEW BOSTON ST",
            "address_2": "SUITE U-168",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016297",
            "telephone_number": "781-941-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "MADRIGAL",
        "authorized_official_first_name": "HUONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-341-6326",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "RN280868",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MA",
            "license": "RN280868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.