Active NPI
S M Paul Lifestyle Design, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Roxbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- S M PAUL LIFESTYLE DESIGN, LLC
- Practice address
- 10 Taber St Unit 307
Roxbury, MA 02119-4147 - Phone
- (617) 858-9046
- NPI assigned
- Dec 20, 2023
- Last updated
- Dec 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila M. Paul, LICSW
- Title
- Owner/Clinical Director
- Phone
- (617) 858-9046
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
10 Taber St Unit 307
Roxbury, MA 02119-4147
Mailing address
1234 Hyde Park Ave Ste 202
Hyde Park, MA 02136-2819
Phone (617) 858-9046
Other practice location 1
1234 Hyde Park Ave Ste 202
Hyde Park, MA 02136-2819
Phone (617) 858-9046
National Provider Directory
National Provider DirectoryLocations
1234 Hyde Park Ave
Ste 202
Hyde Park, MA 02136
Phone (617) 364-6200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Boston, MA
- NPI 1700174893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703030400000",
"number": "1437928389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 HYDE PARK AVE STE 202",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "021362819",
"telephone_number": "617-858-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 TABER ST UNIT 307",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021194147",
"telephone_number": "617-858-9046"
}
],
"practiceLocations": [
{
"address_1": "1234 Hyde Park Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Hyde Park",
"state": "MA",
"postal_code": "021362819",
"country_code": "US",
"telephone_number": "617-858-9046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "S M PAUL LIFESTYLE DESIGN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-20",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
"authorized_official_telephone_number": "617-858-9046",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.