INNOVATIVE BEHAVIORAL HEALTH, LLC (NPI# 1699058370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699058370 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE BEHAVIORAL HEALTH, LLC |
| Practice Address |
160 Commonwealth Ave Suite U3-a Boston MA 02116-2707 |
| Practice Telephone | 6172591895 |
| Practice Fax Number | 6172591899 |
| Mailing Telephone | 6172591895 |
| Mailing Fax Number | 6172591899 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | MS. ANDREA PIATT (OWNER) |
| Authorized Official Telephone | 6172591895 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881067312 | Innovative Behavioral Health, LLC | Community/Behavioral Health | 10001 Lake Forest Blvd, Suite 607, New Orleans, LA 70127-6200 | 2015-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | INNOVATIVE BEHAVIORAL HEALTH, LLC | 160 Commonwealth Avenue, Unit 3, Boston, MA 02116 |
| Indiana Business Entities | INNOVATIVE BEHAVIORAL HEALTH, LLC. | 5548 Painted Maple Ct, Indianapolis, IN 46254 |
| Street Address |
160 COMMONWEALTH AVE SUITE U3-A |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326020827 | Leslie Caroline Lucchina | Dermatology | 160 Commonwealth Ave, Unit 6a, Boston, MA 02116-2707 | 2005-11-18 |
| 1417575622 | Thomas Anderson Brewer | Psychologist | 160 Commonwealth Ave, Suite U3, Boston, MA 02116 | 2020-07-14 |
| 1548613565 | Whitney Havins | Clinical Neuropsychologist | 160 Commonwealth Ave, Ste U-3, Boston, MA 02116-2707 | 2016-07-14 |
| 1447677752 | Ashley Nicole Matskevich | Psychiatry & Neurology | 160 Commonwealth Ave, Boston, MA 02116 | 2014-03-25 |
| 1467705152 | Jennifer West | Psychologist | 160 Commonwealth Ave, Suite U-3, Boston, MA 02116-2707 | 2012-10-18 |
| 1194073478 | Kristen Ihde | Counselor | 160 Commonwealth Ave, Ste U-3, Boston, MA 02116-2707 | 2012-08-17 |
| 1952668972 | Lesley Fields | Psychologist | 160 Commonwealth Ave, Suite U3, Boston, MA 02116-2707 | 2012-04-15 |
| 1922305622 | Jordan Pollak Himmel | Psychologist | 160 Commonwealth Ave, Suite U-3, Boston, MA 02116-2707 | 2011-02-16 |
| 1790006500 | Rachel Redlener | Psychologist | 160 Commonwealth Ave, Suite U-3, Boston, MA 02116-2707 | 2010-06-15 |
| 1710118831 | Kelly M. Jones | Clinical Neuropsychologist | 160 Commonwealth Ave, Suite U-3, Boston, MA 02116-2707 | 2009-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1619599594 | Bozena Forbes | Psychologist | 7 Clarkson St, Boston, MA 02125-2525 | 2020-05-13 |
| 1376189845 | Nicholas Alexander Livingston | Psychologist | 150 S Huntington Ave Rm B13-79, Boston, MA 02130-4817 | 2019-11-20 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1841844693 | Darcy Elizabeth Burgers | Psychologist | 450 Brookline Ave # Jf-736d, Boston, MA 02215-5450 | 2019-07-30 |
| 1780161091 | Andrea Knestel | Psychologist | 224 Clarendon St Ste 51, Boston, MA 02116-3793 | 2018-07-20 |
| 1386121630 | Miryam Yusufov | Psychologist | 375 Longwood Ave # Lw-603, Boston, MA 02215-5395 | 2018-07-19 |
| 1144715798 | Benjamin David Goodlett | Psychologist | 300 Longwood Ave Fegan 4 Genetics, Boston, MA 02115 | 2018-06-26 |
| 1033600887 | Lizabeth Roemer | Psychologist | 100 Morrissey Blvd Dept Of, Boston, MA 02125-3300 | 2018-05-28 |
| Find all providers in BOSTON | ||||
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| 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.