Active NPI
Ayelet Pravda
- Mental Health Counselor
- Arlington, MA
National Provider Identifier
1306165659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 393 Mass Ave
Arlington, MA 02474-6701 - Phone
- (617) 532-0791
- NPI assigned
- May 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
393 Mass Ave
Arlington, MA 02474-6701
Mailing address
82 Woburn St
Lexington, MA 02420-2224
Phone (781) 775-0540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Psychotherapy and Resiliency LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Arlington, MA
- NPI 1841544657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1306165659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 WOBURN ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024202224",
"telephone_number": "781-775-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 MASS AVE",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024746701",
"telephone_number": "617-532-0791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAVDA",
"first_name": "AYELET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.