MASS GENERAL PHYSICIAN ORGANIZATIO (NPI# 1255642229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255642229 |
| Entity Type | Organization |
| Organization Name | MASS GENERAL PHYSICIAN ORGANIZATIO |
| Practice Address |
1 Maguire Rd Lexington MA 02421-3114 |
| Practice Telephone | 7818601700 |
| Practice Fax Number | 7818601766 |
| Mailing Telephone | 7818601700 |
| Mailing Fax Number | 7818601766 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |
| Authorized Official Name | MR. THOMAS L. MALONEY (CLINIC COORDINATOR) |
| Authorized Official Telephone | 7818601700 |
| Authorized Official Credential | RN,MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
168021 | MA | Ambulatory Health Care Facilities |
| Street Address |
1 MAGUIRE RD |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033109715 | Katherine M Martien | Pediatrics | 1 Maguire Rd, Lurie Center for Autism, Lexington, MA 02421-3114 | 2005-10-25 |
| 1588218051 | Nicole Abenaim Simon | Behavioral Analyst | 1 Maguire Rd, Lexington, MA 02421-3114 | 2019-08-01 |
| 1821650664 | Emily I Anderberg | Student in an Organized Health Care Education/Training Program | 1 Maguire Rd, Lurie Center, Lexington, MA 02421-3114 | 2019-07-02 |
| 1245726314 | Po Jung Lee | Speech-Language Pathologist | 1 Maguire Rd, Lexington, MA 02421-3114 | 2018-07-02 |
| 1376066878 | Yvonne M Asher | Psychologist | 1 Maguire Rd, Lurie Center, Lexington, MA 02421-3114 | 2017-07-18 |
| 1033564885 | Rachel Goldin | Psychologist | 1 Maguire Rd, Lexington, MA 02421 | 2016-04-29 |
| 1720455603 | Massachusetts General Hospital | General Acute Care Hospital | 1 Maguire Rd, Lexington, MA 02421-3114 | 2015-08-27 |
| 1477931160 | Robyn Pauline Thom | Psychiatry & Neurology | 1 Maguire Rd, Lexington, MA 02421-3114 | 2015-05-13 |
| 1255732277 | Jill L Pineda | Psychologist | 1 Maguire Rd, Lexington, MA 02421-3114 | 2014-09-09 |
| 1306126123 | Alyssa Milot Travers | Psychologist | 1 Maguire Rd, Lexington, MA 02421-3114 | 2011-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225346737 | Carolina Developmental Clinic, LLC | Clinic/Center | 107 Vista Oaks Dr Ste C, Lexington, SC 29072-8230 | 2010-09-17 |
| 1538366778 | Institute for Learning and Development | Clinic/Center | 125 Hartwell Ave, Lexington, MA 02421-3100 | 2007-06-29 |
| 1265508485 | Specialized Alternative for Families and Youth of Kentucky, Inc. | Clinic/Center | 861 Corporate Dr, Suite 101, Lexington, KY 40503-5432 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485606 | Zephyr Behavioral Healthcare LLC | Clinic/Center | 181 Frizzell Hill Rd, Leyden, MA 01337-9486 | 2020-07-26 |
| 1659869352 | A1 Autism Consultants | Clinic/Center | 330 Sunderland Rd Unit 76, Worcester, MA 01604-2529 | 2018-04-27 |
| 1821203365 | Minute Man Arc for Human Services, Inc. | Clinic/Center | 130c Baker Avenue Ext, Concord, MA 01742-2121 | 2007-05-10 |
| 1043336407 | Baroco Corporation | Clinic/Center | 4 Westview Rd, Pittsfield, MA 01201-8021 | 2007-03-21 |
| 1063538445 | Baroco Corporation | Clinic/Center | 450 Cottage St, Springfield, MA 01104-3355 | 2007-03-21 |
| 1346366507 | Baroco Corporation | Clinic/Center | 64 Roanoke Ave, West Springfield, MA 01089-3710 | 2007-03-21 |
| 1265558621 | Baroco Corporation | Clinic/Center | 115 Wayside Ave, West Springfield, MA 01089-1317 | 2007-03-21 |
| 1396771820 | Douglas A. Thom Clinic, Inc. | Clinic/Center | 126 Phoenix Ave, Building #2, Lowell, MA 01852-4931 | 2006-06-25 |
| 1306465869 | Carter House LLC | Clinic/Center | 125 Sutton Rd, Needham, MA 02492-3214 | 2020-04-14 |
| 1528500303 | Bierman Aba, Inc. | Clinic/Center | 145 Rosemary St, Suite K, Needham Heights, MA 02494-3238 | 2016-11-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.