Organization Active NPI

Clarity of Mind Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Randolph, MA
National Provider Identifier
1659016889
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLARITY OF MIND MENTAL HEALTH
Practice address
500 N Main St
Randolph, MA 02368-6700
Phone
(781) 885-0466
Fax
(781) 885-0468
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Mrs. Milka Fong, M.EDNPI 1114283603
Title
Therapist
Phone
(781) 733-5694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

500 N Main St
Randolph, MA 02368-6700

Mailing address

500 N Main St
Randolph, MA 02368-6700
Phone (781) 885-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230905001322 MA Part B Supplier - Clinic/Group Practice 3476916750 Receives reassigned benefits from 2 practitioners
Practice locations: Randolph, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1659016889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023686700",
            "telephone_number": "781-885-0466",
            "fax_number": "781-885-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023686700",
            "telephone_number": "781-885-0466",
            "fax_number": "781-885-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY OF MIND MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "MILKA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "781-733-5694",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.