Active NPI
MH Health Care Services, PC
- Nurse Practitioner
- Medford, MA
National Provider Identifier
1699316752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MH HEALTH CARE SERVICES, PC
- Practice address
- 161 College Ave
Medford, MA 02155-5593 - Phone
- (617) 627-0467
- NPI assigned
- Sep 30, 2019
- Organization subpart
- Yes
- Parent organization
- MH HEALTH CARE SERVICES, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Carlson, MD
- Title
- President
- Phone
- (802) 857-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
161 College Ave
Medford, MA 02155-5593
Mailing address
20 Winooski Falls Way Ste 475
Winooski, VT 05404-2277
Phone (802) 857-0400
Other names 1
- Tufts Wellness Center @MHHCS
National Provider Directory
National Provider Directory- Tax ID family
- MH Health Care Services PC
- Part of
- MH Health Care Services PC
Locations
20 Winooski Falls Way
Ste 475
Winooski, VT 05404
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Brookline, MA
- NPI 1124355649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569801600000",
"number": "1699316752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WINOOSKI FALLS WAY STE 475",
"city": "WINOOSKI",
"state": "VT",
"postal_code": "054042277",
"telephone_number": "802-857-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 COLLEGE AVE",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021555593",
"telephone_number": "617-627-0467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MH HEALTH CARE SERVICES, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MH HEALTH CARE SERVICES, PC",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A",
"authorized_official_last_name": "CARLSON",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "802-857-0400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tufts Wellness Center @MHHCS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.