NPIMap

Organization Active NPI

My Health101 PC

  • Psychiatry Physician
  • Arlington, MA
National Provider Identifier
1750760211
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MY HEALTH101 PC
Practice address
366 Massachusetts Ave
Suite 103
Arlington, MA 02474-6733
Phone
(617) 528-8195
Fax
(617) 507-6525
NPI assigned
May 29, 2015
Last updated
May 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Erich Goetzel, M.D.
Title
Medical Director
Phone
(617) 528-8195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

366 Massachusetts Ave
Suite 103
Arlington, MA 02474-6733

Mailing address

366 Massachusetts Ave
Suite 103
Arlington, MA 02474-6733
Phone (617) 528-8195

National Provider Directory

National Provider Directory

Locations

366 Massachusetts Ave
Ste 101
Arlington, MA 02474
Phone (781) 643-7020

Practitioners & affiliated clinicians

Practitioners 59

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.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1750760211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 MASSACHUSETTS AVE",
            "address_2": "SUITE 103",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024746733",
            "telephone_number": "617-528-8195",
            "fax_number": "617-507-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 MASSACHUSETTS AVE",
            "address_2": "SUITE 103",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024746733",
            "telephone_number": "617-528-8195",
            "fax_number": "617-507-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HEALTH101 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "GOETZEL",
        "authorized_official_first_name": "ERICH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-528-8195",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.