824 BOYLSTON STREET INC. NPI 1518995018

NPI Information

  • NPI: 1518995018
  • Provider Name: 824 BOYLSTON STREET, INC.
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • Address: 824 BOYLSTON ST
    CHESTNUT HILL, MA
    ZIP 02467
  • Phone: (617) 991-0102

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NPI Details

824 BOYLSTON STREET, INC. is a psychiatric/mental health nurse practitioner in Chestnut Hill, MA. 824 BOYLSTON STREET, INC. NPI is 1518995018. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

824 BOYLSTON ST
CHESTNUT HILL, MA
ZIP 02467-508
Phone: (617) 991-0102
Fax: (617) 991-0112

The provider's authorized official is Herbert Benson .
The authorized official title is President and has the following contact phone number (617) 991-0102.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 9/11/2025.

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
1103TC0700XPsychologistClinicalNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5363LA2200XNurse PractitionerAdult HealthNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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
19726501MEDICAIDMASSACHUSETTS

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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