Ally Integrated Healthcare
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Boston, MA
NPI 1174022693 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1174022693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- ALLY INTEGRATED HEALTHCARE
- Practice address
- 305 Newbury St Ste 41
Boston, MA 02115-2833 - Phone
- (617) 377-7868
- Fax
- (617) 608-5899
- NPI assigned
- Feb 10, 2018
- Organization subpart
- No
Authorized official
- Name
- Ms. Susan S. Wilkinson, MSN, APRN
- Title
- President/Pmhnp-BC
- Phone
- (617) 600-4235
Practitioners 13
-
Stephanie Etienne, PMHNP-BC
-
Susan Wilkinson, PMHNP-BC
-
Mary C Barbato, CNS
-
Carly Elizabeth Rando, NP-PSYCHIATRIC - MEN
-
Maria B Thompson, PMHNP-BC
-
Karina Riedel, PMHNP
-
Jonathan Q Stewart, MSW
National Provider Directory
Locations
305 Newbury St
Ste 41
Boston, MA 02115
Phone (617) 312-5667
30 Newbury St
Ste 3
Boston, MA 02116
Phone (617) 717-9551
233 Ayer Rd
Ste 216
Harvard, MA 01451
Phone (508) 251-8159
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Addiction Medicine (Preventive Medicine) Physician |
2083A0300X | |||
| Nurse Practitioner |
363L00000X | |||
| Community Health Nurse Practitioner |
363LC1500X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes | ||
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
364SP0807X |
Addresses
Primary practice location
305 Newbury St Ste 41
Boston, MA 02115-2833
Mailing address
305 Newbury St Ste 41
Boston, MA 02115-2833
Phone (617) 600-4249
Other practice location 1
233 Ayer Rd Ste 216
Harvard, MA 01451-1175
Phone (508) 251-8159
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174022693 | Other | MA | NPI |
Other names
- ALLY INTEGRATED HEALTHCARE, PC
Other providers in Boston, MA
- Andrew M. Allmendinger
- Sandra E Allonen
- Dana Marie Allswede
- Myron Allukian Jr.
- Nitesh Alluri
- Ally IV & Therapeutics, Inc
- Carly Rie Ally
- Lindsay Allyson
- Majed Khalid Almadani
- Madi Khalid Almadi
All providers in Boston, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.