NPIMap

Organization Active NPI

Psychiatric Associates of Malden, P.C.

  • Psychiatry Physician
  • Malden, MA
National Provider Identifier
1699815910
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
37233 Issued in MA
Legal business name
PSYCHIATRIC ASSOCIATES OF MALDEN, P.C.
Practice address
578 Main St
Malden, MA 02148-3900
Phone
(781) 397-6789
Fax
(781) 397-2597
NPI assigned
Feb 7, 2007
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Dr. Thomas Cannon Bond, M.D.NPI 1972593648
Title
President
Phone
(781) 397-6789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 37233 MA Primary

Addresses

Primary practice location

578 Main St
Malden, MA 02148-3900

Mailing address

578 Main St
Malden, MA 02148-3900
Phone (781) 397-6789

Other identifiers 3

IdentifierTypeStateIssuer
M10614OtherMABLUE CROSS
724596OtherMATUFTS
9767851MedicaidMA

National Provider Directory

National Provider Directory

Locations

578 Main St
Ste 202
Malden, MA 02148
Phone (781) 397-6789

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1699815910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 MAIN ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483900",
            "telephone_number": "781-397-6789",
            "fax_number": "781-397-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 MAIN ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483900",
            "telephone_number": "781-397-6789",
            "fax_number": "781-397-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES OF MALDEN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-397-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "37233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M10614",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "724596",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9767851",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.