Starboard Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STARBOARD MEDICAL LLC

Practice address

603 Salem St Ste 3
Wakefield, MA 01880-1227

Phone

(781) 245-6334

NPI assigned

Feb 20, 2025

Organization subpart

No

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

Authorized official

Name

Michael Friedman

Title

President

Phone

(201) 805-5595

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Narine Avetisyan, NP

  • Nurse Practitioner
  • Cambridge, MA
  • NPI 1770941627
  NPD (past)
• Deborah Karen McHugh

  • Nurse Practitioner
  • Wakefield, MA
  • NPI 1114973872
  NPD (past)

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1548066590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BELLEVUE RD",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723375",
            "telephone_number": "201-805-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 SALEM ST STE 3",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801227",
            "telephone_number": "781-245-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBOARD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-805-5595"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun Charles Spanos, APRN, PMHNP
• Specialized Autism Consultants
• Speech Together LLC
• Jill Ann Speed
• Lindsey Van Houten Spratt, LMHC
• Samantha Stark
• Guinevere A Stasio, CCC-A
• Steven Stengel
• Kaitlin Stevenson, LICSW
• Cailin Donahue Stewart, OTD, OTR/L, CH

• Family Medicine Physician in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.