Mark E. Furtado, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10528 Issued in MA

Practice address

29 Holden St
Attleboro, MA 02703-1717

Phone

(774) 217-4558

NPI assigned

Jan 19, 2011

Last updated

Aug 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Start Line Behavioral Health, LLC

  • Clinical Psychologist
  • Attleboro, MA
  • NPI 1821676891
  NPD Authorized official

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1528363769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HOLDEN ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031717",
            "telephone_number": "774-217-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HOLDEN ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031717",
            "telephone_number": "774-217-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURTADO",
        "first_name": "MARK",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-19",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Commonwealth Nephrology, LLC (Attleboro Dialysis Center)
• Elisabeth Frias Flaz
• Kelsey Frias, RD
• John Edward Friedman, D.M.D.
• Fsshhs
• Justin Gabriel
• Sydney Lee Gabryshak
• Lori Gaffney, LMHC
• Ellen M Gallagher
• Katherine Anne Gallagher, PHARMD

• Clinical Psychologist in Attleboro, MA
• Providers in Attleboro, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.