Healthcare Provider Details

I. General information

NPI: 1578269098
Provider Name (Legal Business Name): PATRICK DOWNEY, CARC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 COURT ST STE 220B
BOSTON MA
02108-2104
US

IV. Provider business mailing address

55 COURT ST STE 220B
BOSTON MA
02108-2104
US

V. Phone/Fax

Practice location:
  • Phone: 857-957-6820
  • Fax: 339-212-0178
Mailing address:
  • Phone: 857-957-6820
  • Fax: 339-212-0178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number0550
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number202321
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: