Back Bay Mental Health LLC
Clinic/Center, Adult Mental Health in Boston, MA. Organization (NPI-2).
NPI number1922830041
StatusActive
Last updated in NPPESJun 22, 2026
Details
- NPI
- 1922830041
- Entity type
- Organization (NPI-2)
- Legal business name
- Back Bay Mental Health LLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2024
- Certification date
- Jun 22, 2026
- Last updated
- Jun 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
975 Commonwealth AveBoston, MA 02215-1305
Phone 781-929-0789
Mailing address
8 Essex Center Dr # 310Peabody, MA 01960-2959
Phone 617-765-0625
Authorized official
Krystin Quinn
Vp Operations
6177650625
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