Active NPI
Upstream Mental Health a Psychological Professional Corporation
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1356044267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- UPSTREAM MENTAL HEALTH A PSYCHOLOGICAL PROFESSIONAL CORPORATION
- Practice address
- 867 Boylston Street
5TH Floor, Suite 1717
Boston, MA 02116-2774 - Phone
- (617) 221-3202
- NPI assigned
- Mar 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kirsten Christensen, PH.D.
- Title
- President
- Phone
- (617) 221-3202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
867 Boylston Street
5TH Floor, Suite 1717
Boston, MA 02116-2774
Mailing address
867 Boylston Street
5TH Floor, Suite 1717
Boston, MA 02116-2774
Phone (617) 221-3202
Other names 1
- Upstream Mental Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Boston, MA
- NPI 1174011944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679443200000",
"number": "1356044267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "867 BOYLSTON STREET",
"address_2": "5TH FLOOR, SUITE 1717",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162774",
"telephone_number": "617-221-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 BOYLSTON STREET",
"address_2": "5TH FLOOR, SUITE 1717",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162774",
"telephone_number": "617-221-3202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPSTREAM MENTAL HEALTH A PSYCHOLOGICAL PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A",
"authorized_official_last_name": "CHRISTENSEN",
"authorized_official_first_name": "KIRSTEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-221-3202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Upstream Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 22, 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.