Active NPI
Paul Eugene Bombara, PHD
- Marriage & Family Therapist
- Lexington, MA
National Provider Identifier
1376506014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 582
- Practice address
- 809 Massachusetts Ave
2ND Floor
Lexington, MA 02420-3918 - Phone
- (781) 860-0600
- Fax
- (000) 000-0000
- NPI assigned
- Apr 11, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4574 | MA | |
| Marriage & Family Therapist | 106H00000X | 582 | MA | Primary |
Addresses
Primary practice location
809 Massachusetts Ave
2ND Floor
Lexington, MA 02420-3918
Mailing address
2 Northgate Cir
Lexington, MA 02420-1957
Phone (781) 860-0922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 582 | MA | MD | Registered Dietitian |
| 4574 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376506014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 NORTHGATE CIR",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024201957",
"telephone_number": "781-860-0922",
"fax_number": "978-851-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 MASSACHUSETTS AVE",
"address_2": "2ND FLOOR",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203918",
"telephone_number": "781-860-0600",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOMBARA",
"first_name": "PAUL",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "4574",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.