Organization Active NPI

Nlightened Psychology

  • Psychologist
  • Boston, MA
National Provider Identifier
1306578240
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NLIGHTENED PSYCHOLOGY
Practice address
1 Washington Mall
1329
Boston, MA 02108
Phone
(617) 362-6020
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Dr. Ingrid G Deller, PSYD
Title
Clinical Psychologist
Phone
(617) 362-6020

Specialties & licenses 1

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

Addresses

Primary practice location

1 Washington Mall
1329
Boston, MA 02108

Mailing address

37 Mather St
Boston, MA 02124-2322

Other practice location 1

37 Mather St
Dorchester, MA 02124-2322
Phone (617) 276-5679

National Provider Directory

National Provider Directory

Locations

1 Washington Mall
#1329
Boston, MA 02108
Phone (617) 362-6020

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": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1306578240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MATHER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021242322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON MALL",
            "address_2": "1329",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02108",
            "telephone_number": "617-362-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Mather St",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021242322",
            "country_code": "US",
            "telephone_number": "617-276-5679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NLIGHTENED PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "DELLER",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-362-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "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 Jul 5, 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.