Active NPI
Erica R. Scioli PHD LLC
- Adult Mental Health Clinic/Center
- Brookline, MA
National Provider Identifier
1477025724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- ERICA R. SCIOLI PHD LLC
- Practice address
- 1415 Beacon St Ste 202
Brookline, MA 02446-4819 - Phone
- (857) 207-0128
- NPI assigned
- Dec 27, 2018
- 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
- Dr. Erica R Scioli-Salter, PHD
- Title
- Owner
- Phone
- (857) 207-0128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1415 Beacon St Ste 202
Brookline, MA 02446-4819
Mailing address
1415 Beacon St Ste 202
Brookline, MA 02446-4819
Phone (857) 207-0128
National Provider Directory
National Provider DirectoryLocations
1415 Beacon St
Ste 202
Brookline, MA 02446
Phone (857) 207-0128
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- West Haven, CT
- NPI 1932365269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605571200000",
"number": "1477025724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 BEACON ST STE 202",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464819",
"telephone_number": "857-207-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 BEACON ST STE 202",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464819",
"telephone_number": "857-207-0128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERICA R. SCIOLI PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-27",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A",
"authorized_official_last_name": "SCIOLI-SALTER",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "857-207-0128",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.