THERAPEUTIC PSYCHIATRIC SERVICE NPI 1497030795

NPI Information

  • NPI: 1497030795
  • Provider Name: THERAPEUTIC PSYCHIATRIC SERVICE
  • Classification: Clinical Nurse Specialist - 364SP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 131 HARVARD ST
    BROOKLINE, MA
    ZIP 02446
  • Phone: (617) 232-4570

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NPI Details

THERAPEUTIC PSYCHIATRIC SERVICE is a psychiatric/mental health clinical nurse specialist in Brookline, MA. THERAPEUTIC PSYCHIATRIC SERVICE NPI is 1497030795. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

131 HARVARD ST
BROOKLINE, MA
ZIP 02446-429
Phone: (617) 232-4570

The provider's authorized official is Donna Lyder .
The authorized official title is Clinician/owner and has the following contact phone number (617) 232-4570.

The enumeration date for this NPI number is 10/18/2011 and was last updated on 10/18/2011.

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
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthRN217927MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110073091AMEDICAIDMASSACHUSETTS

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: 11/21/2025

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