| NPI | 1598257396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A GOLDBERG Director 781-352-5608 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TH0004X Psychologist Health | |
| 1041C0700X Social Worker Clinical | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-16 |