The McLean Hospital Corporation

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

THE MCLEAN HOSPITAL CORPORATION

Practice address

115 Mill St
Belmont, MA 02478-1041

Phone

(617) 855-3311

Fax

(617) 855-2366

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Gold, M.D.

Title

Chief Medical Officer

Phone

(617) 855-2367

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

McLean Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• McLean Hospital

  • Psychiatric Hospital Unit
  • Brighton, MA
  • NPI 1194250290
  NPD tax ID
• The McLean Hospital Corporation

  • Psychiatry Physician
  • Belmont, MA
  • NPI 1114979580
  NPD tax ID
• The McLean Hospital Corporation

  • Clinical Psychologist
  • Belmont, MA
  • NPI 1538185475
  NPD tax ID

Locations

Practitioners 2

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

• Donald A Davidoff, PH.D.

  • Clinical Psychologist
  • Belmont, MA
  • NPI 1861431355
  NPD (past)
• Donna Kathleen Miganowicz, APRN, BC, PC

  • Clinical Nurse Specialist
  • Ashburnham, MA
  • NPI 1821177114
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1932134707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5-0408",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018150408",
            "telephone_number": "617-724-3371",
            "fax_number": "617-724-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781041",
            "telephone_number": "617-855-3311",
            "fax_number": "617-855-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MCLEAN HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "617-855-2367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "030769",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201175",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Telesto Medtech LLC
• Rachel Tester, APRN
• Shailaja Thaker, DMD
• The McLean Hospital Corporation
• The McLean Hospital Corporation
• The Meraki Center for Therapeutic Arts
• The Psych Garden LLC
• Theodore Harvey Atkinson
• Anamaria Duarte Theodoro
• Emily Thorndike

• Magnetic Resonance Imaging (MRI) Clinic/Center in Belmont, MA
• Providers in Belmont, MA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.