Foundations Psychiatric Care LLC
Nurse Practitioner, Psych/Mental Health in Boston, MA. Organization (NPI-2).
NPI number1104745561
StatusActive
Last updated in NPPESOct 12, 2026
Details
- NPI
- 1104745561
- Entity type
- Organization (NPI-2)
- Legal business name
- Foundations Psychiatric Care LLC
- Organization subpart
- No
- Enumeration date
- Jul 10, 2026
- Certification date
- Oct 12, 2026
- Last updated
- Oct 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
56 Broad St Ste 42508Boston, MA 02109-4301
Phone 888-454-1440 · Fax 800-819-6196
Mailing address
56 Broad St Ste 42508Boston, MA 02109-4301
Phone 888-454-1440 · Fax 800-819-6196
Authorized official
Tess Lauricella
Owner
8884541440
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