THE PSYCH GARDEN LLC (NPI# 1922578855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922578855 |
| Entity Type | Organization |
| Organization Name | THE PSYCH GARDEN LLC |
| Practice Address |
25 Flanders Road Belmont MA 02478 |
| Practice Telephone | 8575982808 |
| Practice Fax Number | 8575982864 |
| Mailing Telephone | 8575982808 |
| Mailing Fax Number | 8575982864 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | MARK GREEN (OWNER) |
| Authorized Official Telephone | 8575982808 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
25 FLANDERS ROAD |
| City | BELMONT |
| State | MA |
| Zip Code | 02478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| 1558742833 | Robin Zenger Baker | Marriage & Family Therapist | 38 Carleton Cir, Belmont, MA 02478 | 2015-06-12 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824875 | Beth Suzanne Gorney | Psychologist | 2406 Read Ave, Belmont, CA 94002-1516 | 2020-06-06 |
| 1629567110 | Lauren Yadlosky | Psychologist | 115 Mill St Unit B, Belmont, MA 02478-1048 | 2018-05-09 |
| 1467854299 | Ryan J Madigan | Psychologist | 115 Mill St Stop 125, Belmont, MA 02478-1064 | 2014-09-24 |
| 1699903666 | Victoria Filanosky | Psychologist | 200 Davey Glen Rd, Apt 429, Belmont, CA 94002-2141 | 2009-06-29 |
| 1154562288 | Soyon Park | Psychologist | 3852 W Naughton Ave, Belmont, CA 94002-1260 | 2009-03-19 |
| 1356520308 | Richard Kinney Madden | Psychologist | 707 Pleasant St, Belmont, MA 02478-1521 | 2007-10-26 |
| 1821294356 | Dill and Associates, Incorporated | Psychologist | 56 Raleigh Rd, Belmont, MA 02478-2839 | 2007-06-22 |
| 1003026303 | Robert Mitchell | Psychologist | 1059 Alameda De Las Pulgas, Belmont, CA 94002-3507 | 2007-05-23 |
| 1194842088 | Arlyn Jane Roffman | Psychologist | 230 Payson Rd, Belmont, MA 02478-2834 | 2007-03-23 |
| 1891831129 | Diana L. Dill | Psychologist | Dill and Associates, Incorporated, 56 Raleigh Road, Belmont, MA 02478-2839 | 2007-01-30 |
| Find all providers in BELMONT | ||||
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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.