The Clinical Collective, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE CLINICAL COLLECTIVE, INC.

Practice address

18 Orchard Way N
Rockville, MD 20854-6128

Phone

(978) 618-3603

NPI assigned

Feb 26, 2025

Organization subpart

No

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

Authorized official

Name

Katy Tarella, LCSWNPI 1003358433

Title

Owner

Phone

(978) 618-3603

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katy Tarella, LICSW

  • Clinical Social Worker
  • Belmont, MA
  • NPI 1003358433
  NPD Authorized official

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1316744584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON ST UNIT 10185",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208497548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ORCHARD WAY N",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208546128",
            "telephone_number": "978-618-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINICAL COLLECTIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "TARELLA",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-618-3603",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Rockville, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.