Organization Active NPI

The Therapy Room Associates, LLC

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1174023972
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7613 Issued in MA
Legal business name
THE THERAPY ROOM ASSOCIATES, LLC
Practice address
185 Devonshire St Ste 502
Boston, MA 02110-1407
Phone
(617) 435-0202
Fax
(617) 706-2603
NPI assigned
Feb 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Authorized official

Name
Tomasz WawrzyniakNPI 1194925693
Title
Manager
Phone
(617) 435-0202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 7613 MA Primary

Addresses

Primary practice location

185 Devonshire St Ste 502
Boston, MA 02110-1407

Mailing address

185 Devonshire St Ste 502
Boston, MA 02110-1407
Phone (617) 435-0202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1174023972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 DEVONSHIRE ST STE 502",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101407",
            "telephone_number": "617-435-0202",
            "fax_number": "617-706-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 DEVONSHIRE ST STE 502",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101407",
            "telephone_number": "617-435-0202",
            "fax_number": "617-706-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY ROOM ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "WAWRZYNIAK",
        "authorized_official_first_name": "TOMASZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-435-0202"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7613",
            "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 Feb 19, 2018; 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.