Completendocrine LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

79778 Issued in MA

Legal business name

COMPLETENDOCRINE LLC

Practice address

200 Boylston St
Suite 301
Chestnut Hill, MA 02467-2012

Phone

(617) 467-6672

Fax

(617) 566-2224

NPI assigned

Mar 11, 2015

Last updated

Sep 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan T Haden, MD

Title

Owner

Phone

(617) 731-3400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1639562903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOYLSTON ST",
            "address_2": "SUITE 301",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672012",
            "telephone_number": "617-467-6672",
            "fax_number": "617-566-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOYLSTON ST",
            "address_2": "SUITE 301",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672012",
            "telephone_number": "617-467-6672",
            "fax_number": "617-566-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETENDOCRINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "HADEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-731-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "79778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik M Clinton, M.D.
• Ellen Rose Cohen, LICSW
• Kerry Ann Cohen, AUD
• Nili Cohen
• Helene Renee Collins, STUDENT
• Noelle Connolly, LICSW
• Somatra Lynn Connolly, MSN, RN, PMHNP-BC
• Thomas Joseph Connolly, MD
• Larisa Eppich Connors, MD
• Convivial Dental PC

• Medical Specialty Clinic/Center in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Medical Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.