NPIMap

Organization Active NPI

Harvard Vanguard Medical Associates

  • Psychologist
  • Burlington, MA
National Provider Identifier
1649449778
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HARVARD VANGUARD MEDICAL ASSOCIATES
Practice address
20 Wall St
Behavioral Health Dept
Burlington, MA 01803-4758
Phone
(617) 559-8374
Fax
(617) 421-3487
NPI assigned
Feb 22, 2008
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
H. Eugene Lindsey Jr.
Title
Chief Executive Officer
Phone
(617) 559-8374

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X NU
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU Primary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

20 Wall St
Behavioral Health Dept
Burlington, MA 01803-4758

Mailing address

275 Grove St
Suite 3-300
Auburndale, MA 02466-2272
Phone (617) 559-8374

Other identifiers 1

IdentifierTypeStateIssuer
669493OtherMATUFTS

National Provider Directory

National Provider Directory
Tax ID family
Atrius Health Inc67 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1649449778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 GROVE ST",
            "address_2": "SUITE 3-300",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024662272",
            "telephone_number": "617-559-8374",
            "fax_number": "617-421-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WALL ST",
            "address_2": "BEHAVIORAL HEALTH DEPT",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034758",
            "telephone_number": "617-559-8374",
            "fax_number": "617-421-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD VANGUARD MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "H. EUGENE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-559-8374",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "669493",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.