Provider Demographics
NPI:1649306077
Name:FRANKEL, MARK I (MD, PHD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:I
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 LINDEN ST STE 109
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-7916
Mailing Address - Country:US
Mailing Address - Phone:917-575-1641
Mailing Address - Fax:
Practice Address - Street 1:148 LINDEN ST STE 109
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-7916
Practice Address - Country:US
Practice Address - Phone:917-575-1641
Practice Address - Fax:781-489-5476
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2020-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0479802084P0805X
MA2346812084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry