NPIMap

Organization Active NPI

Highland Psychotherapy, Inc.

Doing business as Highland Psych

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1871791194
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106023 Issued in MA
Legal business name
HIGHLAND PSYCHOTHERAPY, INC.
Doing business as
Highland Psych
Practice address
654 High St
Fall River, MA 02720-3451
Phone
(508) 965-9532
NPI assigned
Jul 8, 2007
Last updated
Dec 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Ms. Mary Ann Duffy, LICSWNPI 1285781815
Title
Owner
Phone
(508) 965-9532

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
Clinical Social Worker 1041C0700X 106023 MA Primary

Addresses

Primary practice location

654 High St
Fall River, MA 02720-3451

Mailing address

PO Box 9694
Fall River, MA 02720-0012
Phone (508) 965-9532

Other names 1

  • Highland Psych Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080317000113 MA Part B Supplier - Clinic/Group Practice 3476638370 Receives reassigned benefits from 1 practitioner
Practice locations: Fall River, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1183852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1871791194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9694",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027200012",
            "telephone_number": "508-965-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 HIGH ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203451",
            "telephone_number": "508-965-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-08",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-965-9532",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Psych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.