Organization Active NPI

Boston Center for Clinical Research LLC

  • Psychiatry Physician
  • Natick, MA
National Provider Identifier
1447808431
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BOSTON CENTER FOR CLINICAL RESEARCH LLC
Practice address
67 Union St Ste 203
Natick, MA 01760-7700
Phone
(617) 244-3322
Fax
(617) 581-6040
NPI assigned
Sep 3, 2019
Last updated
Sep 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Dr. Gustavo Kinrys, MD
Title
Owner
Phone
(617) 244-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

67 Union St Ste 203
Natick, MA 01760-7700

Mailing address

246 Walnut St Ste 104
Newton, MA 02460-1639
Phone (617) 244-3322

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SOCONNOR@SBSCINCORPORATED.COM

National Provider Directory

National Provider Directory

Locations

67 Union St
Ste 203
Natick, MA 01760
Phone (508) 652-0758

Interoperability endpoints

  • Direct secure messaging: soconnor@sbscincorporated.com

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1447808431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 WALNUT ST STE 104",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601639",
            "telephone_number": "617-244-3322",
            "fax_number": "617-581-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION ST STE 203",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "617-244-3322",
            "fax_number": "617-581-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON CENTER FOR CLINICAL RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "KINRYS",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-244-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SOCONNOR@SBSCINCORPORATED.COM",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "67 Union St Ste 203",
            "city": "Natick",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017607700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.