Boston Evening Therapy Associates, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1032829 Issued in MA

Legal business name

BOSTON EVENING THERAPY ASSOCIATES, LLC

Practice address

1180 Beacon St
Suite B
Brookline, MA 02446-3885

Phone

(617) 738-1480

Fax

(617) 738-1481

NPI assigned

May 5, 2014

Last updated

May 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Aaron P. Gilbert, LICSW

Title

Owner/Director

Phone

(617) 738-1480

Specialties & licenses 1

Addresses

Tax ID family

Boston Evening Therapy Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Boston Evening Therapy Associates, LLC

  • Social Worker
  • Brookline, MA
  • NPI 1881844975
  NPD tax ID

Locations

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1417367004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "SUITE B",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463885",
            "telephone_number": "617-738-1480",
            "fax_number": "617-738-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "SUITE B",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463885",
            "telephone_number": "617-738-1480",
            "fax_number": "617-738-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON EVENING THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "617-738-1480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1032829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Borodyansky, MD
• Nancy Ann Borstelmann, MSW, MPH, LICSW
• Boston Arthritis & Spinal Surgery, P.C.
• Boston Behavioral Medicine, LLC
• Boston Center for Psychotherapy Inc.
• Boston Evening Therapy Associates, LLC
• Boston Eye Group, P.C.
• Boston Eye Physicians & Surgeons, P.C.
• Boston Family Therapy & Wellness PLLC (Boston Family Therapy & Wellness)
• Boston Gonstead Chiropractic LLC

• Social Worker in Brookline, MA
• Providers in Brookline, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.