Individual provider Active NPI

Patricia Boornazian-Macdonald, LMFT, LMHC

  • Mental Health Counselor
  • Norwood, MA
National Provider Identifier
1942431523
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC -607 Issued in MA
Practice address
5 Walpole St
Norwood, MA 02062-3351
Phone
(781) 278-9434
Fax
(781) 278-9434
NPI assigned
Jul 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC -607 MA Primary
Marriage & Family Therapist 106H00000X LMFT-456 MA

Addresses

Primary practice location

5 Walpole St
Norwood, MA 02062-3351

Mailing address

37 Carl Rd
Raynham, MA 02767-1542
Phone (508) 822-5239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMHC -607MAMDMental Health Counselor
LMFT-456MAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1942431523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CARL RD",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671542",
            "telephone_number": "508-822-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WALPOLE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623351",
            "telephone_number": "781-278-9434",
            "fax_number": "781-278-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOORNAZIAN-MACDONALD",
        "first_name": "PATRICIA",
        "credential": "LMFT, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC -607",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "LMFT-456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.