Organization Active NPI

Therapeia, LLC

  • Psychologist
  • Lawrence, MA
National Provider Identifier
1427433663
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7976 Issued in MA
Legal business name
THERAPEIA, LLC
Practice address
11 Union St
Lawrence, MA 01840-1815
Phone
(978) 897-5048
Fax
(978) 664-8023
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Richard Francis, PHDNPI 1770617706
Title
Owner
Phone
(978) 897-5048

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 7976 MA Primary

Addresses

Primary practice location

11 Union St
Lawrence, MA 01840-1815

Mailing address

190 High St
Acton, MA 01720-4218
Phone (978) 897-5048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150929000779 MA Part B Supplier - Clinic/Group Practice 8224346069 Receives reassigned benefits from 1 practitioner
Practice locations: Acton, MA

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": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1427433663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HIGH ST",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204218",
            "telephone_number": "978-897-5048",
            "fax_number": "978-664-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UNION ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401815",
            "telephone_number": "978-897-5048",
            "fax_number": "978-664-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-897-5048",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.