Active NPI
May Institute
- Community/Behavioral Health Agency
- Randolph, MA
National Provider Identifier
1891112058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MAY INSTITUTE
- Practice address
- 14 Pacella Park Dr
Randolph, MA 02368-1756 - Phone
- (781) 437-1404
- NPI assigned
- Mar 26, 2014
- Last updated
- Mar 26, 2014
- 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
- Ms. Andrea Lynne Phaneuf
- Title
- Direct Therapist
- Phone
- (508) 468-4049
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
14 Pacella Park Dr
Randolph, MA 02368-1756
Mailing address
14 Pacella Park Dr
Randolph, MA 02368-1756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026265 | Medicaid | MA |
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.
-
- Mental Health Counselor
- Randolph, MA
- NPI 1548682859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395792000000",
"number": "1891112058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PACELLA PARK DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023681756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 PACELLA PARK DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023681756",
"telephone_number": "781-437-1404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAY INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-26",
"last_updated": "2014-03-26",
"status": "A",
"authorized_official_last_name": "PHANEUF",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "DIRECT THERAPIST",
"authorized_official_telephone_number": "508-468-4049",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110026265",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.