Relatespace LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RELATESPACE LLC

Practice address

75 Arlington St FL 5
Boston, MA 02116-3936

Phone

(617) 366-2550

NPI assigned

Apr 30, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katherine Lou, PSYDNPI 1285085159

Title

Sole Member and Owner

Phone

(617) 366-2550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Lou, PSY.D.

  • Psychologist
  • Boston, MA
  • NPI 1285085159
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673049600000",
    "number": "1053932046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 BRAY VISTA WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241713",
            "telephone_number": "617-366-2550",
            "fax_number": "617-340-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ARLINGTON ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163936",
            "telephone_number": "617-366-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELATESPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A",
        "authorized_official_last_name": "LOU",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "SOLE MEMBER AND OWNER",
        "authorized_official_telephone_number": "617-366-2550",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110119105A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dina Reiss, M.D.
• Rosemary Ellen Reiss, MD
• Laurie Reissfelder
• Randa I Reitman, MD
• Marketa Rejtar, DNP APRN CPNP-AC/PC
• Nicole R Remare, CRNA
• Aaron Kyle Remenschneider, M.D.
• Daniel G Remick, M.D.
• Siusi Remondi, DPT
• Remotecare Providers, LLC

• Adult Mental Health Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.