BOSTON PSYCHIATRY GROUP INC. NPI 1205934924

NPI Information

NPI: 1205934924
Provider Name: BOSTON PSYCHIATRY GROUP, INC.
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
20 HOPE AVE STE G05
WALTHAM, MA
ZIP 02453
Phone: (781) 893-8762
Get Directions

BOSTON PSYCHIATRY GROUP, INC. is an addiction medicine psychiatry neurology in Waltham, MA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine BOSTON PSYCHIATRY GROUP, INC. NPI is 1205934924. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 HOPE AVE STE G05
WALTHAM, MA
ZIP 02453-781
Phone: (781) 893-8762
Fax: (781) 899-6386

The provider's authorized official is Tanya Yanovsky .
The authorized official title is Owner and has the following contact phone number (781) 893-8762.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	50268	MASSACHUSETTS	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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