Organization Active NPI

Cape Cod Psychological Associates Inc

  • Mental Health Counselor
  • South Dennis, MA
National Provider Identifier
1760077341
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CAPE COD PSYCHOLOGICAL ASSOCIATES INC
Practice address
38 Route 134 Ste 2
South Dennis, MA 02660-3818
Phone
(508) 694-6552
Fax
(508) 694-5127
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Mary Lynn Swanson, LICSWNPI 1063650497
Title
Owner
Phone
(508) 694-6552

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 Primary

Addresses

Primary practice location

38 Route 134 Ste 2
South Dennis, MA 02660-3818

Mailing address

PO Box 123
Yarmouth Port, MA 02675-0123
Phone (508) 694-6552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210617001426 MA Part B Supplier - Clinic/Group Practice 2961802665 Receives reassigned benefits from 1 practitioner
Practice locations: South Dennis, MA

National Provider Directory

National Provider Directory

Locations

38 Route 134
Unit 2
South Dennis, MA 02660
Phone (508) 240-7964

38 Route 134
Ste 2
South Dennis, MA 02660
Phone (508) 694-6552

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1760077341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026750123",
            "telephone_number": "508-694-6552",
            "fax_number": "508-694-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ROUTE 134 STE 2",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026603818",
            "telephone_number": "508-694-6552",
            "fax_number": "508-694-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE COD PSYCHOLOGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "MARY LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-694-6552",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Dennis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.

Verify at the official NPI Registry.