Institute for Sexual Wellness, Inc

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

207842 Issued in MA

Legal business name

INSTITUTE FOR SEXUAL WELLNESS, INC

Practice address

1233 Hancock St
Quincy, MA 02169-4342

Phone

(617) 479-4501

Fax

(617) 479-8109

NPI assigned

May 18, 2010

Last updated

Mar 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Renee Marie Sorrentino, MD

Title

Medical Director

Phone

(617) 479-4501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1275852097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 HANCOCK ST",
            "address_2": "REAR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694342",
            "telephone_number": "617-479-4501",
            "fax_number": "617-479-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694342",
            "telephone_number": "617-479-4501",
            "fax_number": "617-479-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR SEXUAL WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "SORRENTINO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-479-4501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "MA",
            "license": "207842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychoanalyst in Quincy, MA
• Providers in Quincy, MA by specialty
• Psychoanalyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.