NPIMap

Organization Active NPI

Island Counseling Center, P.C.

  • Psychiatry Physician
  • Nantucket, MA
National Provider Identifier
1861643983
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ISLAND COUNSELING CENTER, P.C.
Practice address
57 Prospect St
Nantucket, MA 02554-2799
Phone
(508) 825-8270
NPI assigned
Oct 7, 2008
Last updated
Feb 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Mohamad Rachid Och, M.D.
Title
Ceo
Phone
(508) 754-1803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

57 Prospect St
Nantucket, MA 02554-2799

Mailing address

22 Greenleaf Farms Cir
Shrewsbury, MA 01545-5000
Phone (508) 754-1803

Other identifiers 1

IdentifierTypeStateIssuer
3017052MedicaidMA

National Provider Directory

National Provider Directory

Locations

108 Grove St
#2
Worcester, MA 01605
Phone (508) 753-3220

Practitioners & affiliated clinicians

Practitioners 8

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": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1861643983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GREENLEAF FARMS CIR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455000",
            "telephone_number": "508-754-1803",
            "fax_number": "508-792-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PROSPECT ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025542799",
            "telephone_number": "508-825-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND COUNSELING CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "OCH",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "RACHID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-754-1803",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3017052",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nantucket, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.