NPIMap

Organization Active NPI

Cambridge Eating Disorder Center

  • Psychiatric Residential Treatment Facility
  • Cambridge, MA
National Provider Identifier
1518081108
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
MB-PRF-914 Issued in MA
Legal business name
CAMBRIDGE EATING DISORDER CENTER
Practice address
3 Bow St
Cambridge, MA 02138-5103
Phone
(617) 547-2255
Fax
(617) 547-0003
NPI assigned
Mar 19, 2007
Last updated
Nov 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Dr. Seda Ebrahimi-Keshishian, PH.D.NPI 1659495323
Title
President
Phone
(617) 547-2255

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X MB-PRF-914 MA Primary
Clinical Psychologist 103TC0700X 6214 MA
Clinical Child & Adolescent Psychologist 103TC2200X 6214 MA
Family Psychologist 103TF0000X 6214 MA
Group Psychotherapy Psychologist 103TP2701X 6214 MA
Clinical Social Worker 1041C0700X 6214 MA

Addresses

Primary practice location

3 Bow St
Cambridge, MA 02138-5103

Mailing address

3 Bow St
Cambridge, MA 02138-5103
Phone (617) 547-2255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1518081108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BOW ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385103",
            "telephone_number": "617-547-2255",
            "fax_number": "617-547-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BOW ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385103",
            "telephone_number": "617-547-2255",
            "fax_number": "617-547-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE EATING DISORDER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMI-KESHISHIAN",
        "authorized_official_first_name": "SEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-547-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MA",
            "license": "MB-PRF-914",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6214",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "6214",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MA",
            "license": "6214",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MA",
            "license": "6214",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "6214",
            "primary": false
        }
    ],
    "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 Nov 14, 2014; 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.