Active NPI
M Coyle LLC
- Adult Mental Health Clinic/Center
- Newburyport, MA
National Provider Identifier
1801550009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mireille Coyle, LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Beverly, MA
- NPI 1588035497
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": []
}
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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.