Organization Active NPI

Boston Precision Neurotherapeutics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Natick, MA
National Provider Identifier
1255081063
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BOSTON PRECISION NEUROTHERAPEUTICS
Practice address
6 Union St Ste 2
Natick, MA 01760-4784
Phone
(781) 205-9555
NPI assigned
Mar 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Dr. Roger Pottanat, M.D.NPI 1396066874
Title
Co-President
Phone
(781) 205-9555

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6 Union St Ste 2
Natick, MA 01760-4784

Mailing address

6 Union St Ste 2
Natick, MA 01760-4784

National Provider Directory

National Provider Directory

Locations

6 Union St
Ste 2
Natick, MA 01760
Phone (617) 209-9987

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": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1255081063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 UNION ST STE 2",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 UNION ST STE 2",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604784",
            "telephone_number": "781-205-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PRECISION NEUROTHERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "POTTANAT",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "781-205-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.