Integrative Medicine Strategist

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

208015 Issued in MA

Legal business name

INTEGRATIVE MEDICINE STRATEGIST

Practice address

17 Pleasant St
Milford, MA 01757-2412

Phone

(508) 686-5100

Fax

(508) 927-6401

NPI assigned

Apr 4, 2014

Organization subpart

No

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

Authorized official

Name

Geoff Depaula, M.AC

Title

Ceo

Phone

(508) 686-5100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1831517911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PLEASANT ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572412",
            "telephone_number": "508-686-5100",
            "fax_number": "508-927-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PLEASANT ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572412",
            "telephone_number": "508-686-5100",
            "fax_number": "508-927-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICINE STRATEGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "DEPAULA",
        "authorized_official_first_name": "GEOFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-686-5100",
        "authorized_official_credential": "M.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "208015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.