Organization Active NPI

M Coyle LLC

  • Adult Mental Health Clinic/Center
  • Newburyport, MA
National Provider Identifier
1801550009
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
M COYLE LLC
Practice address
8 Prince PL # 113
Newburyport, MA 01950-2612
Phone
(978) 317-9635
NPI assigned
Oct 25, 2021
Last updated
Oct 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Mireille Coyle, LICSWNPI 1588035497
Title
Owner
Phone
(978) 317-9635

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

8 Prince PL # 113
Newburyport, MA 01950-2612

Mailing address

65 Shortell Ave
Beverly, MA 01915-3948

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220128000084 MA Part B Supplier - Clinic/Group Practice 5991197741 Receives reassigned benefits from 1 practitioner
Practice locations: Newburyport, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1801550009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SHORTELL AVE",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PRINCE PL # 113",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502612",
            "telephone_number": "978-317-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M COYLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "MIREILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-317-9635",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.