MIA ALYSE MOLOGOUSIS
NPI 1700589884
Dermatology in Boston, MA

Active since March 27, 2023
800 WASHINGTON ST, BOSTON, MA 02111(617) 636-5000 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 21, 2025, Mar 27, 2023 (2 updates tracked since 2023).

About Mia Alyse Mologousis NPPES

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

MIA ALYSE MOLOGOUSIS (NPI 1700589884) is an individual dermatology provider in Boston, Massachusetts, licensed in Massachusetts (3017989) and active in the NPI registry since March 2023. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1700589884
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMIA ALYSE MOLOGOUSIS
Location Address800 WASHINGTON STBoston, MA 02111-1552
Mailing Address8027 Savoy Club CtBurr Ridge, IL 60527 · (630) 991-7500
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1700589884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MA · 3017989
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
800 WASHINGTON ST, Boston, MA 02111

Secondary Practice Location 1

Location 17435 W Talcott AvenueChicago, IL 60631 · Phone (773) 990-5261

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Gastroenterology)
800 WASHINGTON ST, BOX 233
BOSTON, MA 02111
Technician/Technologist (Optician)
800 WASHINGTON ST, BOX 450
BOSTON, MA 02111
Plastic Surgery
800 WASHINGTON ST
BOSTON, MA 02111
Internal Medicine
800 WASHINGTON ST
BOSTON, MA 02111
Internal Medicine (Infectious Disease)
800 WASHINGTON ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Psychiatry & Neurology (Psychiatry)
800 WASHINGTON ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111

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 Mia Mologousis's NPI number?

The NPI number for Mia Mologousis is 1700589884. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Mia Mologousis located?

Mia Mologousis practices at 800 Washington St, Boston, MA 02111. The listed phone number is (617) 636-5000.

What is Mia Mologousis's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Mia Mologousis was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.