Back Bay Psychiatry
Clinic/Center, Mental Health (Including Community Mental Health Center) in Boston, MA. Organization (NPI-2).
NPI number1750163978
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1750163978
- Entity type
- Organization (NPI-2)
- Legal business name
- Back Bay Psychiatry
- Organization subpart
- No
- Enumeration date
- Oct 23, 2023
- Certification date
- Oct 21, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
264 Beacon St Fl 2Boston, MA 02116-1236
Phone 857-278-1435
Mailing address
60 Myopia RdWinchester, MA 01890-3745
Phone 617-680-5205
Authorized official
Anna Roglieri
Pmhcns-Bc
6176805205
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