THERAPEUTIC PSYCHIATRIC SERVICE NPI 1497030795

NPI Information

NPI: 1497030795
Provider Name: THERAPEUTIC PSYCHIATRIC SERVICE
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
131 HARVARD ST
BROOKLINE, MA
ZIP 02446
Phone: (617) 232-4570
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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
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	RN217927	MASSACHUSETTS	Yes

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
1	110073091A	MEDICAID	MASSACHUSETTS

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: 11/14/2023

NPI Synchronization or Removal

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