NPIMap

Organization Active NPI

Medmind LLC

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1942905880
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MEDMIND LLC
Practice address
185 Devonshire St Ste 500
Boston, MA 02110-1407
Phone
(617) 335-5096
NPI assigned
Mar 31, 2023
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Aedome Girma, DONPI 1437653904
Title
Manager
Phone
(617) 335-5096

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)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

185 Devonshire St Ste 500
Boston, MA 02110-1407

Mailing address

185 Devonshire St Ste 500
Boston, MA 02110-1407
Phone (617) 335-5096

National Provider Directory

National Provider Directory

Locations

185 Devonshire St
Ste 500
Boston, MA 02110
Phone (310) 600-1991

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1942905880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 DEVONSHIRE ST STE 500",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101407",
            "telephone_number": "617-335-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 DEVONSHIRE ST STE 500",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101407",
            "telephone_number": "617-335-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDMIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "GIRMA",
        "authorized_official_first_name": "AEDOME",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-335-5096",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.