MD Legal Consultant Corp.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MD LEGAL CONSULTANT CORP.

Doing business as

MD Legal Consultant Corp.
MD Legal Consultant Corp/Fast MDLC

Practice address

14 Avon Rd
Watertown, MA 02472-4932

Phone

(781) 354-8756

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kishanlal Chakrabarti, MDNPI 1659365856

Title

Psychiatrist

Phone

(781) 354-8756

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• MD Legal Consultant Corp. Doing business as
• MD Legal Consultant Corp/Fast MDLC Doing business as

Electronic endpoints 1

Practitioners 1

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

• Kishanlal Chakrabarti, MD

  • Psychiatry Physician
  • Winthrop, MA
  • NPI 1659365856
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1699378042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 AVON RD",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724932",
            "telephone_number": "781-354-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 AVON RD",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724932",
            "telephone_number": "781-354-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD LEGAL CONSULTANT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "CHAKRABARTI",
        "authorized_official_first_name": "KISHANLAL",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "781-354-8756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42216",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "w.pierre@fastmdlc.com",
            "affiliation": "N",
            "endpointDescription": "none",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all",
            "address_1": "14 Avon Rd",
            "city": "Watertown",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024724932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MD Legal Consultant Corp.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MD Legal Consultant Corp/Fast MDLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Eujenia McConnell, M.S.
• Jill Marie McEntee
• Rachel McGovern
• Holly McKeown
• Sophia Jeran McWhorter, LCSW
• Meghan Meade
• Mostafa Medhati
• Medicus Translational, LLC
• Stephanie Ohnemus Megna, TVI
• Pooja Mehta

• Adult Mental Health Clinic/Center in Watertown, MA
• Providers in Watertown, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.