NPIMap

Organization Active NPI

R T Neuro LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, MA
National Provider Identifier
1104518976
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
R T NEURO LLC
Practice address
49 Waltham St Ste 2
Lexington, MA 02421-5411
Phone
(978) 995-7740
Fax
(888) 695-7775
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Jotham Busfield, LICSWNPI 1831524867
Title
Owner
Phone
(978) 995-7740

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

49 Waltham St Ste 2
Lexington, MA 02421-5411

Mailing address

35 Oliver St
Framingham, MA 01702-6425
Phone (978) 995-7740

Other practice location 1

277 Linden St Ste 208
Wellesley, MA 02482-5920
Phone (978) 995-7740

National Provider Directory

National Provider Directory

Locations

49 Waltham St
Ste 2
Lexington, MA 02421
Phone (888) 695-7775

Practitioners & affiliated clinicians

Practitioners 10

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": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1104518976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 OLIVER ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026425",
            "telephone_number": "978-995-7740",
            "fax_number": "888-695-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WALTHAM ST STE 2",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215411",
            "telephone_number": "978-995-7740",
            "fax_number": "888-695-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Linden St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024825920",
            "country_code": "US",
            "telephone_number": "978-995-7740",
            "fax_number": "888-695-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "R T NEURO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "BUSFIELD",
        "authorized_official_first_name": "JOTHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-995-7740",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.