Triad Adolescent Services

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

9159 Issued in MA

Legal business name

TRIAD ADOLESCENT SERVICES

Practice address

363 Mass Ave
Suite 204
Lexington, MA 02420

Phone

(781) 864-4814

NPI assigned

Jan 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Gillian Carol Galen, PSYD

Title

Clinical Director

Phone

(617) 290-9432

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1316368749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 MASS AVE",
            "address_2": "SUITE 204",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02420",
            "telephone_number": "781-864-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MASS AVE",
            "address_2": "SUITE 204",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02420",
            "telephone_number": "781-864-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD ADOLESCENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "GALEN",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "617-290-9432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "2353",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "9159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Tran, MD
• Tracy Tran
• Joanna Trasher
• Michelle Traverse, M.S.W.
• Treehouse Center for Sensory Integration
• Robert Tricomi, LMT
• Jessica Yumi Noelani Trischitta
• Margaret Neville Tryon, OTR/L
• Yi-Jen Tseng, LIC. AC.
• Bassel Thaier Tuffaha

• Clinical Child & Adolescent Psychologist in Lexington, MA
• Providers in Lexington, MA by specialty
• Clinical Child & Adolescent Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.