Modern Health Arizona P.L.L.C.
NPI 1124695788ActiveOrganization· Psychologist· Boston, MA
Psychologist in Boston, Massachusetts, registered in NPPES in June 2021. The authorized official on file is Matthew Burton, Chief Administrative Officer.
Overview
| NPI | 1124695788 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2021 |
| Last updated in NPPES | Feb 11, 2022 |
| Certified by provider | Feb 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Counselor | 101Y00000X | — | — |
| Social Worker | 104100000X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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