JONATHAN SCULLY MA
NPI 1700322278
Counselor - Mental Health in Holden, MA

Active since January 09, 2017PECOS EnrolledAccepts Medicare Assignment
697 MAIN ST STE 1, HOLDEN, MA 01520(774) 633-9443 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2026, Jan 9, 2017 (2 updates tracked since 2017).

About Jonathan Scully Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN SCULLY MA (NPI 1700322278) is an individual mental health provider in Holden, Massachusetts and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1700322278
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN SCULLYCredential: MA
Location Address697 MAIN ST STE 1Holden, MA 01520-1861
Mailing Address697 Main St Ste 1Holden, MA 01520-1861 · (774) 633-9443
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 9, 2017
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
NPI 1700322278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
697 MAIN ST STE 1, Holden, MA 01520

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan Scully Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658717608
PECOS Enrollment IDI20240312003924
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
697 MAIN ST STE 1
HOLDEN, MA 01520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Scully's NPI number?

The NPI number for Jonathan Scully is 1700322278. It was assigned to this individual provider in the NPPES registry on January 9, 2017.

Where is Jonathan Scully located?

Jonathan Scully practices at 697 Main St Ste 1, Holden, MA 01520. The listed phone number is (774) 633-9443.

What is Jonathan Scully's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jonathan Scully enrolled in Medicare?

Yes. Jonathan Scully is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jonathan Scully accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Jonathan Scully as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Scully was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.