Organization Active NPI

Boston Center for Psychotherapy Inc.

  • Mental Health Counselor
  • Brookline, MA
National Provider Identifier
1093051948
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7024 Issued in MA
Legal business name
BOSTON CENTER FOR PSYCHOTHERAPY INC.
Practice address
1093 Beacon St
304
Brookline, MA 02446-5695
Phone
(617) 834-2960
Fax
(617) 232-1160
NPI assigned
Dec 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Ms. Julide Lauck, LMHC
Title
President
Phone
(617) 834-2960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 7024 MA Primary

Addresses

Primary practice location

1093 Beacon St
304
Brookline, MA 02446-5695

Mailing address

1093 Beacon St
304
Brookline, MA 02446-5695
Phone (617) 834-2960

National Provider Directory

National Provider Directory

Locations

1093 Beacon St
Ste 304
Brookline, MA 02446
Phone (617) 834-2960

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1093051948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 BEACON ST",
            "address_2": "304",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465695",
            "telephone_number": "617-834-2960",
            "fax_number": "617-232-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 BEACON ST",
            "address_2": "304",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465695",
            "telephone_number": "617-834-2960",
            "fax_number": "617-232-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON CENTER FOR PSYCHOTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "LAUCK",
        "authorized_official_first_name": "JULIDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-834-2960",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.