Organization Active NPI

Greater Boston Therapy and Wellness PLLC

  • Mental Health Counselor
  • Cambridge, MA
National Provider Identifier
1447016936
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GREATER BOSTON THERAPY AND WELLNESS PLLC
Practice address
1955 Massachusetts Ave Ste 10
Cambridge, MA 02140-1405
Phone
(617) 520-4858
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Thomas Eric Haferd, PHD
Title
Manager
Phone
(646) 872-9293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1955 Massachusetts Ave Ste 10
Cambridge, MA 02140-1405

Mailing address

1955 Massachusetts Ave Ste 10
Cambridge, MA 02140-1405
Phone (617) 520-4858

National Provider Directory

National Provider Directory

Locations

1955 Massachusetts Ave
Ste 10
Cambridge, MA 02140
Phone (617) 520-4858

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": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1447016936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MASSACHUSETTS AVE STE 10",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401405",
            "telephone_number": "617-520-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MASSACHUSETTS AVE STE 10",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401405",
            "telephone_number": "617-520-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON THERAPY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "HAFERD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-872-9293",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.