Boston Neurofeedback, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4363 Issued in MA

Legal business name

BOSTON NEUROFEEDBACK, PC

Practice address

60 Mall Rd
Suite 204
Burlington, MA 01803-4517

Phone

(781) 229-6700

Fax

(781) 229-6701

NPI assigned

Jan 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anita Kremgold Myer, ED.D.NPI 1679619431

Title

President

Phone

(781) 229-6700

Specialties & licenses 1

Addresses

Locations

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.

• Anita Kremgold-Myer, E.D.

  • Clinical Psychologist
  • Burlington, MA
  • NPI 1679619431
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487707980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MALL RD",
            "address_2": "SUITE 204",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034517",
            "telephone_number": "781-229-6700",
            "fax_number": "781-229-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MALL RD",
            "address_2": "SUITE 204",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034517",
            "telephone_number": "781-229-6700",
            "fax_number": "781-229-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON NEUROFEEDBACK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KREMGOLD MYER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-229-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise A Borrelli, PHD, LMHC
• Carl Joseph Borromeo, M.D.
• Boston Artificial Limb Company, Inc.
• Boston Endometriosis Care PLLC
• Boston Neurofeedback Ctr., PC
• Boston Pacific Homecare
• Jennifer Ann Boudrow
• Amit Boukai, MD, MPH
• Brittanny L Boulanger, M.D.
• William Boulanger, RN

• Clinical Psychologist in Burlington, MA
• Providers in Burlington, MA by specialty
• Clinical Psychologist in Massachusetts

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

Verify at the official NPI Registry.