Individual provider Active NPI

Michelle N Soucy, LIC. AC.

  • Acupuncturist
  • Concord, MA
National Provider Identifier
1962579607
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
230159 Issued in MA
Practice address
676 Elm St Ste 100
Concord, MA 01742-2134
Phone
(978) 369-9400
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 230159 MA Primary

Addresses

Primary practice location

676 Elm St Ste 100
Concord, MA 01742-2134

Mailing address

676 Elm St Ste 100
Concord, MA 01742-2134
Phone (978) 369-9400

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
230159MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Center Acupuncture and Herbal Medicine LLC Acupuncturist CurrentSince Oct 6, 2024 Accepting new patients

Locations

676 Elm St
Ste 100
Concord, MA 01742
Phone (978) 369-9400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1962579607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 ELM ST STE 100",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422134",
            "telephone_number": "978-369-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 ELM ST STE 100",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422134",
            "telephone_number": "978-369-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUCY",
        "first_name": "MICHELLE",
        "middle_name": "N",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "230159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.