Advanced Neurotherapy, PC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

3976 Issued in MA

Legal business name

ADVANCED NEUROTHERAPY, PC

Practice address

140 Bristol Rd
Wellesley, MA 02481-2730

Phone

(781) 444-9115

NPI assigned

Jul 20, 2006

Last updated

Jun 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jolene Ross, PH.D.NPI 1477605236

Title

Licensed Psychologist/Director

Phone

(781) 444-9115

Specialties & licenses 1

Addresses

Other identifiers 3

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, and the practitioner matching its NPPES authorized official.

• Jolene Ross, PH.D.

  • Cognitive & Behavioral Psychologist
  • Wellesley, MA
  • NPI 1477605236
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1104846476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10436 PARK TREE PL",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604487",
            "telephone_number": "781-444-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BRISTOL RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812730",
            "telephone_number": "781-444-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROTHERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/DIRECTOR",
        "authorized_official_telephone_number": "781-444-9115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MA",
            "license": "3976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS COMMERCIAL",
            "identifier": "722869",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL HERITAGE",
            "identifier": "W03950",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "W03950",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Accurate Aesthetics
• Accurate Aesthetics Plastic Surgery, P.C.
• Susan Louise Adamson, NP
• Lauren Joy Adelizi, DC
• Charles E. Adler, M.D.
• Advanced Sports Therapy, LLC
• Aneel Advani, MD
• Adviniacare Newton Wellesley LLC
• David Shaun Aghassi, MD
• Sarah Al Alam

• Cognitive & Behavioral Psychologist in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Cognitive & Behavioral Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.