Pediatric Weight Management Centers LLC

Primary specialty

Dietary ManagerTaxonomy code 132700000X

Legal business name

PEDIATRIC WEIGHT MANAGEMENT CENTERS LLC

Doing business as

Great Moves

Practice address

188 Needham St
Newton, MA 02464-1596

Phone

(617) 928-0006

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Marie Lynch

Title

Office Manager

Phone

(617) 928-0006

Specialties & licenses 1

Addresses

Other names 1

• Great Moves Doing business as

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1619147311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 NEEDHAM ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641596",
            "telephone_number": "617-928-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 NEEDHAM ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641596",
            "telephone_number": "617-928-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC WEIGHT MANAGEMENT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-928-0006",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Moves",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Aa Peck, ATC, CMT
• Meghan Peck
• Pediatric House Call PC
• Pediatric Mental Health of Boston PLLC
• Pediatric Speech Language Services
• Pediatrics at Newton Wellesley, PC
• Pedodontic Associates of Newton, Inc.
• Mallory Celine Peishoff
• Alexa Belle Pellenberg
• Marlena Pelliccio, PT

• Dietary Manager in Newton, MA
• Providers in Newton, MA by specialty
• Dietary Manager in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.