BACK BAY COGNITIVE BEHAVIORAL THERAPY LLC


Address: 29 Commonwealth Ave Ste 901, Boston, MA 02116-2349
Phone: 6172790739

BACK BAY COGNITIVE BEHAVIORAL THERAPY LLC (NPI# 1568896884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568896884
Entity Type Organization
Organization Name BACK BAY COGNITIVE BEHAVIORAL THERAPY LLC
Practice Address 29 Commonwealth Ave Ste 901
Boston
MA 02116-2349
Practice Telephone 6172790739
Mailing Telephone 6172790739
Enumeration Date 2013-08-22
Last Update Date 2015-09-28
Authorized Official Name JOLIE L. WEINGEROFF (PROPRIETOR)
Authorized Official Telephone 6172790739
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
9653 MA Behavioral Health & Social Service Providers

Office Location

Street Address 29 COMMONWEALTH AVE STE 901
City BOSTON
State MA
Zip Code 02116-2349

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1306495924 Anthony Rosellini Psychologist 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 2019-09-06
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1780161091 Andrea Knestel Psychologist 224 Clarendon St Ste 51, Boston, MA 02116-3793 2018-07-20
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1144715798 Benjamin David Goodlett Psychologist 300 Longwood Ave Fegan 4 Genetics, Boston, MA 02115 2018-06-26
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Competitor

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City BOSTON
Zip Code 02116

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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