Madonna Hall Good Shepherd Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1379 Issued in MA

Legal business name

MADONNA HALL GOOD SHEPHERD SERVICES

Doing business as

Maria Droste Counseling Services

Practice address

1354 Hancock St
Suite 209
Quincy, MA 02169-5109

Phone

(617) 471-5686

Fax

(617) 471-6622

NPI assigned

Oct 2, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Shanahan, LMFT

Title

Executive Director

Phone

(671) 471-5686

Specialties & licenses 2

Addresses

Other names 1

• Maria Droste Counseling Services Doing business as

Locations

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1871920140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 HANCOCK ST",
            "address_2": "SUITE 209",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695109",
            "telephone_number": "617-471-5686",
            "fax_number": "617-471-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 HANCOCK ST",
            "address_2": "SUITE 209",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695109",
            "telephone_number": "617-471-5686",
            "fax_number": "617-471-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADONNA HALL GOOD SHEPHERD SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "671-471-5686",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1379",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maria Droste Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen Margaret Macozek
• Daniel J Madden Jr., DMD
• Julie Ann Madden, FNP
• Kristin D Madden, LCSW
• Julia Maderia
• Josephine Theresa Madonna, MA
• Jane L Maffie Lee, NURSE PRACTITIONER
• Nicole M Maggio
• Elizabeth Morgan Magidson, LMHC
• Constantinos Magimbi, B.A.

• Marriage & Family Therapist in Quincy, MA
• Providers in Quincy, MA by specialty
• Marriage & Family Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.