Organization Active NPI

Foundations Psychiatric Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1104745561
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FOUNDATIONS PSYCHIATRIC CARE
Practice address
56 Broad St Ste 42508
Boston, MA 02109-4301
Phone
(617) 213-0612
Fax
(800) 819-6196
NPI assigned
Jul 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Tess Lauricella, NP
Title
Owner
Phone
(617) 213-0612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

56 Broad St Ste 42508
Boston, MA 02109-4301

Mailing address

56 Broad St Ste 42508
Boston, MA 02109-4301
Phone (617) 213-0612

National Provider Directory

National Provider Directory

Locations

56 Broad St
Ste 42508
Boston, MA 02109

NPI Registry JSON

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1104745561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BROAD ST STE 42508",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094301",
            "telephone_number": "617-213-0612",
            "fax_number": "800-819-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BROAD ST STE 42508",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094301",
            "telephone_number": "617-213-0612",
            "fax_number": "800-819-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS PSYCHIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "LAURICELLA",
        "authorized_official_first_name": "TESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-213-0612",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.