BOSTON BEHAVIOR THERAPY LLC NPI 1780995332

NPI Information

  • NPI: 1780995332
  • Provider Name: BOSTON BEHAVIOR THERAPY LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 300 TRADE CENTER 100 SYLVAN RD
    SUITE 7790
    WOBURN, MA
    ZIP 01801
  • Phone: (781) 281-0213

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NPI Details

BOSTON BEHAVIOR THERAPY LLC is a clinical psychologist in Woburn, 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 BEHAVIOR THERAPY LLC NPI is 1780995332. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 TRADE CENTER 100 SYLVAN RD
SUITE 7790
WOBURN, MA
ZIP 01801-883
Phone: (781) 281-0213
Fax: (781) 281-0764

The provider's authorized official is Tracy Vandermerwe .
The authorized official title is Office Manager and has the following contact phone number (603) 580-2337.

The enumeration date for this NPI number is 6/29/2010 and was last updated on 8/5/2010.

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
1103TC0700XPsychologistClinical4233MASSACHUSETTSYes

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
11124356233OTHERMASSACHUSETTSSOLO NPI
21104053933OTHERMASSACHUSETTSSOLO NPI

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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