NPIMap

Organization Active NPI

The Psychological Collaborative, LLC

  • Clinical Psychologist
  • North Reading, MA
National Provider Identifier
1164845988
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8744 Issued in MA
Legal business name
THE PSYCHOLOGICAL COLLABORATIVE, LLC
Practice address
162 Park St
Suite 202
North Reading, MA 01864-2346
Phone
(781) 248-8608
NPI assigned
Jan 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Dr. Melissa Boyd, PSY.D.
Title
Psychologist/Owner
Phone
(781) 248-8608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 8744 MA Primary

Addresses

Primary practice location

162 Park St
Suite 202
North Reading, MA 01864-2346

Mailing address

162 Park St
Suite 202
North Reading, MA 01864-2346
Phone (781) 248-8608

National Provider Directory

National Provider Directory

Locations

162 Park St
Ste 202
North Reading, MA 01864
Phone (781) 248-8608

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1164845988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 PARK ST",
            "address_2": "SUITE 202",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018642346",
            "telephone_number": "781-248-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 PARK ST",
            "address_2": "SUITE 202",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018642346",
            "telephone_number": "781-248-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PSYCHOLOGICAL COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "781-248-8608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.