NPIMap

Organization Active NPI

Bayon Medical Group LLC

  • Mental Health Counselor
  • Lynn, MA
National Provider Identifier
1740769728
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5297 Issued in MA
Legal business name
BAYON MEDICAL GROUP LLC
Practice address
280 Union St Ste 402
Lynn, MA 01901-1353
Phone
(857) 452-6356
Fax
(888) 390-9437
NPI assigned
Aug 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Vladimir Batrin, MSNPI 1174208037
Title
Practice Administrator
Phone
(857) 452-6356

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: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 5297 MA Primary

Addresses

Primary practice location

280 Union St Ste 402
Lynn, MA 01901-1353

Mailing address

280 Union St Ste 402
Lynn, MA 01901-1353
Phone (857) 452-6356

Other practice location 1

1075 Westford St Ste 204
Lowell, MA 01851-2845
Phone (978) 455-7992

Other identifiers 2

IdentifierTypeStateIssuer
110120791BMedicaidMA
110120791AMedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Bayon Medical Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1075 Westford St
Ste 204
Lowell, MA 01851
Phone (978) 452-2000

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1740769728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 UNION ST STE 402",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011353",
            "telephone_number": "857-452-6356",
            "fax_number": "888-390-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 UNION ST STE 402",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011353",
            "telephone_number": "857-452-6356",
            "fax_number": "888-390-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Westford St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018512845",
            "country_code": "US",
            "telephone_number": "978-455-7992",
            "fax_number": "978-221-6168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYON MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "BATRIN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "857-452-6356",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110120791B",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110120791A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.