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BOSTON BEHAVIORAL MEDICINE LLC NPI 1306087457


NPI Information

NPI: 1306087457
Provider Name: BOSTON BEHAVIORAL MEDICINE, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1371 BEACON ST STE 304
BROOKLINE, MA
ZIP 02446
Phone: (617) 232-2435
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BOSTON BEHAVIORAL MEDICINE, LLC is a clinical psychologist in Brookline, MA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. BOSTON BEHAVIORAL MEDICINE, LLC NPI is 1306087457. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1371 BEACON ST STE 304
BROOKLINE, MA
ZIP 02446-905
Phone: (617) 232-2435
Fax: (617) 232-0078

The provider's authorized official is Katharine M Larsson .
The authorized official title is Co-director and has the following contact phone number (617) 232-2435.

The enumeration date for this NPI number is 3/19/2009 and was last updated on 3/19/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult181401MASSACHUSETTSNo
2103TC0700XPsychologistClinical7454MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000PN0601OTHERBLUE CROSS BLUE SHIELD LEGACY NUMBER
21030430OTHERMASSACHUSETTSBEACON HEALTH STRATEGIES
3791373OTHERMASSACHUSETTSTUFTS HEALTH INSURANCE
4IP574730OTHERMEGELLAN
51893165MEDICAIDMASSACHUSETTS
60000WO6099OTHERBLUE CROSS BLUE SHIELD LEGACY NUMBER
71790817732OTHERMASSACHUSETTSNPI
8461385OTHERMASSACHUSETTSTUFTS HEALTH INSURANCE
91003850330OTHERMASSACHUSETTSNPI
101093165OTHERMASSACHUSETTSMBHP
11LAW51023OTHERMASSACHUSETTSMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.