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DR. JUSTIN LEO ENGGASSER PH.D. NPI 1730370032


NPI Information

NPI: 1730370032
Provider Name: DR. JUSTIN LEO ENGGASSER, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
150 S. HUNTINGTON AVENUE
VA BOSTON HEALTHCARE SYSTEM (116B)
BOSTON, MA
ZIP 02130
Phone: (774) 826-1380
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DR. Justin Leo Enggasser, PH.D. is a clinical psychologist in Boston, 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. DR. Justin Leo Enggasser, PH.D. NPI is 1730370032. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

150 S. HUNTINGTON AVENUE
VA BOSTON HEALTHCARE SYSTEM (116B)
BOSTON, MA
ZIP 02130
Phone: (774) 826-1380

The enumeration date for this NPI number is 8/5/2007 and was last updated on 1/7/2008.


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
1103TA0400XPsychologistAddiction (Substance Use Disorder)8807MASSACHUSETTSNo
2103TB0200XPsychologistCognitive & Behavioral8807MASSACHUSETTSNo
3103TC0700XPsychologistClinical8807MASSACHUSETTSYes

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

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