Square Medical Group LLC
Clinic/Center, Adult Mental Health in Watertown, Massachusetts
1356515464- Practice location
- 124 Watertown St, Suite 2D, Watertown, MA 02472-2576
- Phone
- 617-916-5069
- Fax
- 617-467-4073
- Last updated
- August 13, 2015
Square Medical Group LLC is a healthcare organization based in Watertown, MA. Square Medical Group LLC practices in Watertown, MA. The NPI Number for Square Medical Group LLC is 1356515464 and holds a License No. 152859 (MA). The current practice location address for Square Medical Group LLC is 124 Watertown St, Suite 2D, Watertown, MA 02472-2576 and can be reached out via phone at 617-916-5069 and via fax at 617-467-4073.
Provider Profile Details
- NPI Number
- 1356515464
- Provider Name
- Square Medical Group LLC
- Provider Entity Type
- Organization
- Address
- 124 Watertown St, Suite 2D, Watertown, MA 02472-2576
- Phone Number
- 617-916-5069
- Fax Number
- 617-467-4073
- Primary Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X
- Organization Subpart
- No
- Authorized Official
- Dr. Natalie Leonid Lender, MD · Medical Director, Owner · 617-916-5069
- Provider Enumeration Date
- April 18, 2008
- Last Update Date
- August 13, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 124 Watertown St
Suite 2D
Watertown, MA 02472-2576 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472-2576
- Phone Number
- 617-916-5069
- Fax Number
- 617-467-4073
Provider Business Mailing Address Details
- Address
- 124 Watertown St
Suite 2D
Watertown, MA 02472-2576 - City
- Watertown
- State
- MA
- Zip
- 02472-2576
- Phone Number
- 617-916-5069
- Fax Number
- 617-467-4073
License Information
- License Number (1)
- 152859
- License State (1)
- MA
- Taxonomy (1)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- License Number (2)
- 152859
- License State (2)
- MA
- Taxonomy (2)
- Clinic/Center, Adult Mental Health · 261QM0850X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Adult Mental Health providers near Watertown, MA
View all Clinic/Center, Adult Mental Health providers in Watertown →Frequently Asked Questions
What is the NPI number of Square Medical Group LLC?
The NPI number of Square Medical Group LLC is 1356515464. It was assigned on April 18, 2008 and is currently active in the NPPES registry.
What is the specialty of Square Medical Group LLC?
Square Medical Group LLC is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X), licensed in MA under license number 152859.
Where does Square Medical Group LLC practice?
The practice location is 124 Watertown St, Suite 2D, Watertown, MA 02472-2576. The office can be reached at 617-916-5069 (phone) or 617-467-4073 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356515464 directly on the NPPES registry website.