NPIMap

Organization Active NPI

Outpatient Center of Adam Ciccio, LMHC, P.C.

  • Mental Health Counselor
  • Marblehead, MA
National Provider Identifier
1740646637
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9093 Issued in MA
Legal business name
OUTPATIENT CENTER OF ADAM CICCIO, LMHC, P.C.
Practice address
70 Atlantic Ave
Unit 8
Marblehead, MA 01945-3042
Phone
(781) 307-0098
Fax
(617) 442-6763
NPI assigned
Jan 7, 2016
Last updated
Jan 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Adam Gerard Ciccio, LMHCNPI 1346597283
Title
Owner
Phone
(781) 307-0098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 9093 MA Primary

Addresses

Primary practice location

70 Atlantic Ave
Unit 8
Marblehead, MA 01945-3042

Mailing address

70 Atlantic Ave
Unit 8
Marblehead, MA 01945-3042
Phone (781) 307-0098

National Provider Directory

National Provider Directory

Locations

70 Atlantic Ave
Unit 8
Marblehead, MA 01945
Phone (781) 307-0098

Practitioners & affiliated clinicians

Practitioners 2

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": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1740646637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ATLANTIC AVE",
            "address_2": "UNIT 8",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453042",
            "telephone_number": "781-307-0098",
            "fax_number": "617-442-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ATLANTIC AVE",
            "address_2": "UNIT 8",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453042",
            "telephone_number": "781-307-0098",
            "fax_number": "617-442-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT CENTER OF ADAM CICCIO, LMHC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "CICCIO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-307-0098",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marblehead, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.