Mary Clancy NP, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

RN159848 Issued in MA

Legal business name

MARY CLANCY NP, LLC

Practice address

1290 Worcester Rd
Framingham, MA 01702-5254

Phone

(508) 872-6228

NPI assigned

Aug 4, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Clancy, NP

Title

Direct Owner

Phone

(508) 877-6318

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375574400000",
    "number": "1629400478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LOMAS CIR",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013949",
            "telephone_number": "508-872-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 WORCESTER RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025254",
            "telephone_number": "508-872-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CLANCY NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-04",
        "last_updated": "2013-08-04",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "508-877-6318",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "RN159848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Framingham, MA
• Providers in Framingham, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; 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.