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Contact Information

MEDOPTIONS OF MASSACHUSETTS LLC
84 STATE ST
SUITE 660
BOSTON, MA02109-2202
 Phone: 410-832-2279
 Fax: 860-510-0020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Gerontology

163WG0600X
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Licensed Practical Nurse

164W00000X
 

Neurology

2084N0400X 13 Physician/Neurology
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatric/Mental Health

163WP0808X
 

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health, Adult

163WP0809X
Indicates primary specialty

NPI Profile & details for MEDOPTIONS OF MASSACHUSETTS LLC

NPI # 1053527028
LBN Legal business name MEDOPTIONS OF MASSACHUSETTS LLC
Authorized official DONNA DOOLEY - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2007
Last updated 08/30/2016 - About 10 years ago
Identifiers
MA Medicaid 9793640
MA Other 7001000W10663 BLUE CROSS BLUE SHIELD
MA Other DG1569 PALMETO / RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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