Paul Eugene Bombara, PHD

Individual provider Active NPI Marriage & Family Therapist · Lexington, MA

NPI 1376506014 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1376506014
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
582 (MA)
Practice address
809 Massachusetts Ave
2ND Floor
Lexington, MA 02420-3918
Phone
(781) 860-0600
Fax
(000) 000-0000
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
582MAMDRegistered Dietitian
4574MAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4574 MA
Marriage & Family Therapist 106H00000X 582 MA Yes

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

Other providers in Lexington, MA

All providers in Lexington, MA · Marriage & Family Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.