Mandala Health Services LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MANDALA HEALTH SERVICES LLC

Practice address

18 Lyman St Ste 245
Westborough, MA 01581-1459

Phone

(508) 599-2388

Fax

(508) 599-2389

NPI assigned

Feb 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David P Morin, MDNPI 1215910914

Title

Owner

Phone

(508) 599-2388

Specialties & licenses 1

Addresses

Other names 1

• David Morin MD Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David P Morin, M.D.

  • Psychiatry Physician
  • Worcester, MA
  • NPI 1215910914
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1891441069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015320136",
            "telephone_number": "978-505-1949",
            "fax_number": "508-599-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LYMAN ST STE 245",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811459",
            "telephone_number": "508-599-2388",
            "fax_number": "508-599-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-599-2388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmorin@mandalahs.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "18 Lyman St Ste 245",
            "city": "Westborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015811459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "David Morin MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kelly Lee Maguire, OTR/L, CWLT
• Mahmoud Hadidy DMD PC
• Gregory C Malloy, M.D.
• Ewa M. Mamber, O.D.
• Mana Pura Wellness LLC
• Gordon S Manning, M.D.
• Matthew Manzella, DPT
• Ruth E Margulies, MS CCC-SLP
• Kendra Lyn Marien, L.C.S.W.,M.S.W.
• Daylene Marshall

• Psychiatry Physician in Westborough, MA
• Providers in Westborough, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; 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.