MIND BODY HEALTHLINK (NPI# 1548564073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548564073 |
| Entity Type | Organization |
| Organization Name | MIND BODY HEALTHLINK |
| Other Organization Name | CARL FULWILER, M.D., PH.D. |
| Practice Address |
26 Castle Rd Northborough MA 01532-1249 |
| Practice Telephone | 6172713342 |
| Mailing Telephone | 6172713342 |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |
| Authorized Official Name | CARL FULWILER (PRINCIPAL OWNER) |
| Authorized Official Telephone | 6172713342 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
80208 | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Carl Fulwiler, M.D., Ph.D. | Other Name - Individual/Organization |
| Street Address |
26 CASTLE RD |
| City | NORTHBOROUGH |
| State | MA |
| Zip Code | 01532-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073152153 | Authentic Wellness Therapy LLC | Clinic/Center | Authentic Wellness Therapy LLC, 300 West Main Street, Building B, Northborough, MA 01532 | 2020-01-06 |
| 1396225819 | Shannon Furgal | Behavior Technician | 359 Whitney St, Northborough, MA 01532 | 2018-08-14 |
| 1487145926 | Jonathan Ye | Dentist | 448 Howard St, Northborough, MA 01532 | 2018-05-21 |
| 1205219441 | Nuch of Massachusetts, LLC | Clinic/Center | 10002 Shops Way, Suite A, Northborough, MA 01532 | 2015-07-07 |
| 1164775243 | Christine B Chapman | Nurse Practitioner | 10002 Shops Way Ste A, Northborough, MA 01532 | 2012-10-26 |
| 1013269927 | Lindsay Brady | Social Worker | 295 Crawford St., Northborough, MA 01532 | 2012-10-03 |
| 1366763047 | Christine Rodriguez | Counselor | 20 Main Street, Northborough, MA 01532 | 2010-06-17 |
| 1417189432 | Deborah Anne Carter | Social Worker | 130 Main St., Bldg. 2 Suite F, Northborough, MA 01532 | 2009-08-10 |
| 1780802561 | Department of Mental Health | Case Management | 40 Institute Rd, Oaks B Bldg, Southbridge - Milford Cm, No Grafton, MA 01532 | 2007-04-24 |
| 1285787747 | Karen Leigh Lilley | Counselor | 21 Southwest Cutoff, Northborough, MA 01532 | 2007-01-19 |
| Find all providers in zip 01532 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306400478 | Valentine Eye Group | Clinic/Center | 80 Erdman Way # 205, Leominster, MA 01453-1840 | 2019-04-24 |
| 1578034641 | Zuhayr Hemady Md Bi PC | Clinic/Center | 1261 Furnace Brook Pkwy Ste 33, Quincy, MA 02169-4762 | 2018-12-16 |
| 1528448693 | Dr. Susan Rodgin | Clinic/Center | 39 W Plain St, Wayland, MA 01778-4409 | 2015-06-04 |
| 1205215373 | Mass Medical Group, LLC | Clinic/Center | 200 Central St, Suite #2, Lowell, MA 01852-2201 | 2015-05-22 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1053740241 | Aesthetic Plastic Surgery of North Shore PC | Clinic/Center | 900 Cummings Ctr Ste 301u, Beverly, MA 01915-6181 | 2013-11-07 |
| 1518217694 | Sarah M Barnett Md Pllc | Clinic/Center | 119 Drum Hill Rd # 128, Chelmsford, MA 01824-1505 | 2012-09-14 |
| 1255687166 | James V Kowalski M.d. P.C. | Clinic/Center | 795 W Main St, Hyannis, MA 02601-3424 | 2012-07-29 |
| 1316184005 | Simon Faynzilbergmd PC | Clinic/Center | 157 Winthrop Rd Unit 2, Brookline, MA 02445-4642 | 2009-01-16 |
| 1235304528 | Asthma & Allergy Specialists, PC | Clinic/Center | 955 Main St, Ste G-3, Suite G-3, Winchester, MA 01890 | 2008-04-28 |
| Find all providers with the same taxonomy | ||||
| City | NORTHBOROUGH |
| Zip Code | 01532 |
Please comment or provide details below to improve the information on MIND BODY HEALTHLINK.
| 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.