Organization Active NPI

Generation Excel Youth Program

  • Counseling Psychologist
  • Boston, MA
National Provider Identifier
1144497124
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
GENERATION EXCEL YOUTH PROGRAM
Practice address
215 Forest Hills St
Boston, MA 02130-3302
Phone
(617) 524-7900
Fax
(617) 524-4169
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Mrs. Nickey Nesbeth
Title
Director
Phone
(617) 524-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

215 Forest Hills St
Boston, MA 02130-3302

Mailing address

215 Forest Hills St
Boston, MA 02130-3302
Phone (617) 524-7900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1144497124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FOREST HILLS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303302",
            "telephone_number": "617-524-7900",
            "fax_number": "617-524-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FOREST HILLS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303302",
            "telephone_number": "617-524-7900",
            "fax_number": "617-524-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION EXCEL YOUTH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "NESBETH",
        "authorized_official_first_name": "NICKEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-524-7900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "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 May 9, 2008; 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.