Active NPI
MD Psychology LLC
- Clinical Psychologist
- North Easton, MA
National Provider Identifier
1720464753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 278285
- Legal business name
- MD PSYCHOLOGY LLC
- Practice address
- 115 Main St
Suite 2a
North Easton, MA 02356-1409 - Phone
- (508) 456-6287
- Fax
- (844) 766-2013
- NPI assigned
- Jul 31, 2015
- Last updated
- May 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maggie Naughton
- Title
- Office Manager
- Phone
- (507) 297-0863
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 278285 | MA | Primary |
Addresses
Primary practice location
115 Main St
Suite 2a
North Easton, MA 02356-1409
Mailing address
115 Main St
Suite 2a
North Easton, MA 02356-1409
Phone (508) 456-6287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Main St
North Easton, MA 02356
Phone (508) 238-1360
115 Main St
Ste 2A
North Easton, MA 02356
Phone (508) 297-0863
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Easton, MA
- NPI 1407087596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621209600000",
"number": "1720464753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MAIN ST",
"address_2": "SUITE 2A",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561409",
"telephone_number": "508-456-6287",
"fax_number": "844-766-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MAIN ST",
"address_2": "SUITE 2A",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561409",
"telephone_number": "508-456-6287",
"fax_number": "844-766-2013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD PSYCHOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-31",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A",
"authorized_official_last_name": "NAUGHTON",
"authorized_official_first_name": "MAGGIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "507-297-0863"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "278285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Easton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.