Central Square Therapy Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CENTRAL SQUARE THERAPY ASSOCIATES

Practice address

150 Market St FL 2
Lynn, MA 01901-1529

Phone

(781) 913-4017

Fax

(781) 658-2213

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Amado F Hernandez, PH.D.NPI 1619061603

Title

Owner

Phone

(781) 913-4017

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Central Square Therapy Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Square Therapy Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lynn, MA
  • NPI 1093942914
  NPD tax ID

Locations

Practitioners 5

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

• Amado F Hernandez, PH.D.

  • Clinical Neuropsychologist
  • Lynn, MA
  • NPI 1619061603
  NPD Authorized official
• Janine L Daley, LICSW

  • Clinical Social Worker
  • Lynn, MA
  • NPI 1841324910
  NPD (past)
• Daniel H Owen, LICSW

  • Clinical Social Worker
  • Lynn, MA
  • NPI 1619907680
  NPD (past)
• Robert Anthony Page, PH.D.

  • Psychologist
  • Lynn, MA
  • NPI 1659391811
  NPD (past)
• Estela Cecilia Perez-Bustillo, LICSW

  • Clinical Social Worker
  • Lynn, MA
  • NPI 1760535678
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1194934026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MARKET ST FL 2",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011529",
            "telephone_number": "781-913-4017",
            "fax_number": "781-658-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MARKET ST FL 2",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011529",
            "telephone_number": "781-913-4017",
            "fax_number": "781-658-2213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Island St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018401835",
            "country_code": "US",
            "telephone_number": "781-913-4017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL SQUARE THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "AMADO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-913-4017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "395667",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1028620",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Celona
• Jason Celona, BSN, RN
• Mindy R Celona
• Jacquelyn Carol Censullo, RN
• Central Square Therapy Associates
• Cereal Pete Inc
• Cerebral Palsy Association of Eastern Massachusetts
• Angela Maria Ceriello
• Janice Ann Chabot, C.R.N.A.
• Ruth Maria Chabot, LPN

• Clinical Psychologist in Lynn, MA
• Providers in Lynn, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.