THE MCLEAN HOSPITAL CORPORATION (NPI# 1538185475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538185475 |
| Entity Type | Organization |
| Organization Name | THE MCLEAN HOSPITAL CORPORATION |
| Practice Address |
115 Mill St Belmont MA 02478-1041 |
| Mailing Address |
Po Box 415578 Boston MA 02241-5578 |
| Practice Telephone | 6178553316 |
| Practice Fax Number | 6178553336 |
| Mailing Telephone | 6177243371 |
| Mailing Fax Number | 6177249687 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | DR. JOSEPH GOLD (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6178552367 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BC/BS | 2222400710 | 01 |
| MA | 110027417C | 05 | |
| MA | BC/BS | 2222400701 | 01 |
| MA | 11002747A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932134707 | The Mclean Hospital Corporation | Clinic/Center | 115 Mill St, Belmont, MA 02478-1041 | 2006-07-11 |
| 1114979580 | The Mclean Hospital Corporation | Psychologist | 115 Mill St, Belmont, MA 02478-1041 | 2006-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | THE MCLEAN HOSPITAL CORPORATION | C/o Ct Corporation, 120 S Central Ave Ste 400, Clayton, MO 63105 |
| Street Address |
115 MILL ST |
| City | BELMONT |
| State | MA |
| Zip Code | 02478-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454652 | Jacqueline Anne Samson | Psychologist | 115 Mill St, Belmont, MA 02478-1041 | 2005-06-01 |
| 1326647520 | Jacqueline Bullis | Psychologist | 115 Mill St, Belmont, MA 02478-1048 | 2020-10-20 |
| 1578162707 | Caleb Zachary Demers | Social Worker | 115 Mill St, Belmont, MA 02478-1048 | 2020-10-19 |
| 1083221428 | Noa Kupfer | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-29 |
| 1154936490 | Remy Sky Leutwyler | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-14 |
| 1699380295 | Denice Cronin | Psychologist | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-10 |
| 1033724851 | Amanda Sedgewick, Pllc | Clinic/Center | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-09 |
| 1013529015 | Miqveh Steinhart | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-08-20 |
| 1801407820 | Lindsay Amateis | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-08-13 |
| 1790395671 | Patrick Shanley | Social Worker | 115 Mill St, Mclean Hospital Mail Stop 106, Belmont, MA 02478 | 2020-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891237111 | Kathleen Keating | Psychiatric Hospital | 115 Mill St, Belmont, MA 02478-1064 | 2016-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861901910 | Westborough Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 300 Friberg Pkwy, Westborough, MA 01581-3900 | 2017-09-20 |
| 1790223220 | Uhs of Westwood Pembroke | Psychiatric Hospital | 456 Mammoth Rd Apt 2, Dracut, MA 01826-6157 | 2017-02-04 |
| 1639615685 | Mariel Catherine Marfongelli | Psychiatric Hospital | 537 E 6th St Apt 1, Boston, MA 02127-3070 | 2017-01-15 |
| 1801041306 | Anne Mullaney | Psychiatric Hospital | 57 Settler Rd, Plymouth, MA 02360-2959 | 2008-11-25 |
| 1104077544 | Va Medical Center Brockton Ma | Psychiatric Hospital | 25 Belmont Ct Apt 8, Brockton, MA 02301-4730 | 2008-10-03 |
| 1497947899 | Boston Medical Center | Psychiatric Hospital | 272 Albion St, Apt 3, Wakefield, MA 01880-3154 | 2007-08-10 |
| 1346385267 | Claudia Helen Orleans | Psychiatric Hospital | 8 Hillcrest Ave, Nahant, MA 01908-1113 | 2007-02-20 |
| 1881787455 | Department of Mental Health | Psychiatric Hospital | 288 Lyman St., Westboro, MA 01581 | 2006-10-02 |
| 1407884059 | The Commonwealth of Massachusetts | Psychiatric Hospital | 460 Quincy Ave, Quincy, MA 02169-8130 | 2006-06-30 |
| 1619944105 | Cambridge Health Alliance | Psychiatric Hospital | 156 Raymond St, Apt 2, Cambridge, MA 02140-3315 | 2006-03-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE MCLEAN HOSPITAL CORPORATION.
| 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.