Organization Active NPI

Rooted Behavioral Therapy

  • Psychologist
  • Boston, MA
National Provider Identifier
1194530071
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ROOTED BEHAVIORAL THERAPY
Practice address
137 Peterborough St Apt 27
Boston, MA 02215-4212
Phone
(617) 959-2860
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Shaadee Samimy
Title
Founder
Phone
(617) 942-1339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

137 Peterborough St Apt 27
Boston, MA 02215-4212

Mailing address

137 Peterborough St Apt 27
Boston, MA 02215-4212
Phone (617) 959-2860

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.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1194530071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PETERBOROUGH ST APT 27",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154212",
            "telephone_number": "617-959-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PETERBOROUGH ST APT 27",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154212",
            "telephone_number": "617-959-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "SAMIMY",
        "authorized_official_first_name": "SHAADEE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "617-942-1339"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 10, 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.