Organization Active NPI

Martha Collette

Doing business as Boston Psychological Assoicates

  • Clinical Neuropsychologist
  • Beverly, MA
National Provider Identifier
1184758211
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2347 Issued in MA
Legal business name
MARTHA COLLETTE
Doing business as
Boston Psychological Assoicates
Practice address
24 Neptune St
Beverly, MA 01915-4726
Phone
(978) 921-5080
Fax
(978) 927-1946
NPI assigned
Mar 14, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ted Heron
Title
Manager
Phone
(978) 922-2046

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2347 MA Primary
Psychologist 103T00000X 2347 MA

Addresses

Primary practice location

24 Neptune St
Beverly, MA 01915-4726

Mailing address

PO Box 237
Prides Crossing, MA 01965-0237
Phone (978) 922-2046

Other names 1

  • Boston Psychological Assoicates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184758211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "PRIDES CROSSING",
            "state": "MA",
            "postal_code": "019650237",
            "telephone_number": "978-922-2046",
            "fax_number": "978-927-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NEPTUNE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154726",
            "telephone_number": "978-921-5080",
            "fax_number": "978-927-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA COLLETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HERON",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-922-2046"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "2347",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "2347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Psychological Assoicates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.