Kaitlyn Elizabeth McCormack

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

54 Pearl St
Bridgewater, MA 02324-1627

Phone

(508) 245-5655

NPI assigned

Oct 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Finding Zen Counseling, LLC

  • Mental Health Counselor
  • Pembroke, MA
  • NPI 1942159322
  NPD Authorized official
• South Bay Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1023096864
  NPD

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1780195776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PEARL ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PEARL ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241627",
            "telephone_number": "508-245-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer McAllister, PSYD
• Joanne McCarthy
• Kateri McCarthy, M.D.
• Meaghan M McCarthy, LCSW
• Jamie McCormack
• Kristen McGillvray, LICSW
• Meghan Louise McGovern, PMHNP
• Rebecca McGrath, LICSW
• Maria L. McHargue, LICSW
• Carol Y McLellan

• Mental Health Counselor in Bridgewater, MA
• Providers in Bridgewater, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.