Active NPI
Psychotherapy & Wellness Center, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellesley Hills, MA
National Provider Identifier
1144797713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PSYCHOTHERAPY & WELLNESS CENTER, LLC
- Practice address
- 42 Washington St Ste 210
Wellesley Hills, MA 02481-1817 - Phone
- (617) 780-6415
- NPI assigned
- Oct 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shiri Kessel, LICSW
- Title
- Ceo
- Phone
- (617) 780-6415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
42 Washington St Ste 210
Wellesley Hills, MA 02481-1817
Mailing address
69 Moffat Rd
Waban, MA 02468-1114
Phone (617) 780-6415
Other practice location 1
1620 Massachusetts Ave
Lexington, MA 02420-3831
Phone (617) 780-6415
National Provider Directory
National Provider DirectoryLocations
1620 Massachusetts Ave
Lexington, MA 02420
Phone (617) 780-6415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555027200000",
"number": "1144797713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 MOFFAT RD",
"city": "WABAN",
"state": "MA",
"postal_code": "024681114",
"telephone_number": "617-780-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 WASHINGTON ST STE 210",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024811817",
"telephone_number": "617-780-6415"
}
],
"practiceLocations": [
{
"address_1": "1620 Massachusetts Ave",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "MA",
"postal_code": "024203831",
"country_code": "US",
"telephone_number": "617-780-6415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PSYCHOTHERAPY & WELLNESS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-31",
"last_updated": "2019-04-12",
"status": "A",
"authorized_official_last_name": "KESSEL",
"authorized_official_first_name": "SHIRI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "617-780-6415",
"authorized_official_name_prefix": "Mrs.",
"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 Wellesley Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.