NPIMap

Organization Active NPI

Beacon Street Psychotherapy Services Inc

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1356846992
Registry record updated Jun 2, 2023
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Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8361 Issued in MA
Legal business name
BEACON STREET PSYCHOTHERAPY SERVICES INC
Practice address
85 E India Row
Boston, MA 02110-3320
Phone
(617) 642-5838
NPI assigned
Mar 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Leila KaramNPI 1487964201
Title
Manager
Phone
(617) 642-5838

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 8361 MA Primary

Addresses

Primary practice location

85 E India Row
Boston, MA 02110-3320

Mailing address

85 E India Row
Boston, MA 02110-3320
Phone (617) 642-5838

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1356846992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E INDIA ROW",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021103320",
            "telephone_number": "617-642-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E INDIA ROW",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021103320",
            "telephone_number": "617-642-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON STREET PSYCHOTHERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "KARAM",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-642-5838"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8361",
            "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 Jun 2, 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.