Back Bay Psychiatry,LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BACK BAY PSYCHIATRY,LLC

Practice address

264 Beacon St FL 2
Boston, MA 02116-1236

Phone

(857) 278-1435

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Anna Roglieri, PMHCNS-BCNPI 1003035478

Title

Clinician, Founder

Phone

(617) 680-5205

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.

• Anna Roglieri

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
  • NPI 1003035478
  NPD Authorized official

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1326820119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MYOPIA RD",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018903745",
            "telephone_number": "617-680-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BEACON ST FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161236",
            "telephone_number": "857-278-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK BAY PSYCHIATRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "ROGLIERI",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CLINICIAN, FOUNDER",
        "authorized_official_telephone_number": "617-680-5205",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHCNS-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back Bay Dental Group LLC
• Back Bay Health LLC
• Back Bay Home Health Care, LLC
• Back Bay Mental Health LLC
• Back Bay Psychiatry
• Diana Back, MD
• Backbeat Inc.
• Elke Backman, PHARM.D.
• Warren David Backman, MBBS
• Backstage PT LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.