Lexington Behavioral Health

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LEXINGTON BEHAVIORAL HEALTH

Practice address

277 Yew St
Douglas, MA 01516-2348

Phone

(774) 289-7871

NPI assigned

Jun 4, 2022

Organization subpart

No

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

Authorized official

Name

Tammy Weiner

Title

Owner

Phone

(774) 289-7871

Specialties & licenses 2

Addresses

Practitioners 1

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

• Kimberly Charbonneau

  • Social Worker
  • Douglas, MA
  • NPI 1689430803
  NPD

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1679212898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 YEW ST",
            "city": "DOUGLAS",
            "state": "MA",
            "postal_code": "015162348",
            "telephone_number": "774-289-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 YEW ST",
            "city": "DOUGLAS",
            "state": "MA",
            "postal_code": "015162348",
            "telephone_number": "774-289-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-289-7871"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Todd Jarman, LICSW
• Alana Faith Johnson
• Deborah Ann Kuenzel, D.C.
• John M Lawrence IV, M.D.
• Benjamin Leclerc, RN
• Nicholas Mackowiak
• Carol A McDonald, LPTA
• Jennifer McGee
• Maria Merloni, M.S.W.
• Dayane Mota, PA-C

• Clinic/Center in Douglas, MA
• Providers in Douglas, MA by specialty
• Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; 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.