NPIMap

Organization Active NPI

Massachusetts Mind Center LLC

  • Clinic/Center
  • Boston, MA
National Provider Identifier
1972930063
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
240591 Issued in MA
Legal business name
MASSACHUSETTS MIND CENTER LLC
Practice address
376 Boylston St
Ste 403
Boston, MA 02116-3812
Phone
(617) 935-3678
NPI assigned
Oct 3, 2013
Last updated
Sep 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Asma Rashid, MDNPI 1154515286
Title
Owner
Phone
(617) 935-3678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 240591 MA Primary

Addresses

Primary practice location

376 Boylston St
Ste 403
Boston, MA 02116-3812

Mailing address

184 Commonwealth Ave
10
Boston, MA 02116-2748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221123001609 MA Part B Supplier - Clinic/Group Practice 6709254733 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Locations

50 Commonwealth Ave
Ste 2
Boston, MA 02116
Phone (617) 235-2193

Practitioners & affiliated clinicians

Practitioners 4

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": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1972930063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 COMMONWEALTH AVE",
            "address_2": "10",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 BOYLSTON ST",
            "address_2": "STE 403",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163812",
            "telephone_number": "617-935-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS MIND CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "ASMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-935-3678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "240591",
            "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 Sep 23, 2016; 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.