Organization Active NPI

Rachel Duda PSYD LLC

  • Adult Mental Health Clinic/Center
  • Boston, MA
National Provider Identifier
1336705631
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RACHEL DUDA PSYD LLC
Practice address
45 Newbury St Ste 333
Boston, MA 02116-3177
Phone
(617) 934-5095
NPI assigned
May 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Dr. Rachel Duda, PSYD
Title
Owner/Psychologist
Phone
(617) 934-5095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

45 Newbury St Ste 333
Boston, MA 02116-3177

Mailing address

23 Gardner St Unit 1
Allston, MA 02134-1727

National Provider Directory

National Provider Directory

Locations

45 Newbury St
Ste 333
Boston, MA 02116
Phone (617) 266-8584

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1336705631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 GARDNER ST UNIT 1",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NEWBURY ST STE 333",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163177",
            "telephone_number": "617-934-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL DUDA PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "DUDA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-934-5095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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 May 13, 2019; 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.