Organization Active NPI

Psychotherapy & Wellness Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellesley Hills, MA
National Provider Identifier
1144797713
Registry record updated Apr 12, 2019
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
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

Updated by the provider on Apr 12, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.