Organization Active NPI

Scully Psychotherapy PLLC.

  • Mental Health Counselor
  • Holden, MA
National Provider Identifier
1083400741
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SCULLY PSYCHOTHERAPY PLLC.
Practice address
697 Main St Ste 1
Holden, MA 01520-1861
Phone
(508) 450-9298
NPI assigned
Apr 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Jonathan Scully, LMHCNPI 1700322278
Title
Behavioral Health Provider
Phone
(774) 633-9443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

697 Main St Ste 1
Holden, MA 01520-1861

Mailing address

697 Main St Ste 1
Holden, MA 01520-1861
Phone (508) 450-9298

Other names 2

  • Scully Psychotherapy PLLC. Doing business as
  • Scully Psychotherapy LLC. Former legal business name

National Provider Directory

National Provider Directory

Locations

697 Main St
Ste 1
Holden, MA 01520
Phone (508) 450-9298

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1083400741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 MAIN ST STE 1",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201861",
            "telephone_number": "508-450-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 MAIN ST STE 1",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201861",
            "telephone_number": "508-450-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCULLY PSYCHOTHERAPY PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "SCULLY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH PROVIDER",
        "authorized_official_telephone_number": "774-633-9443",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scully Psychotherapy PLLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scully Psychotherapy LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Holden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.