Triad Psychotherapy P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

TRIAD PSYCHOTHERAPY P.C.

Practice address

867 Boylston St FL 5
Boston, MA 02116-2774

Phone

(508) 964-0484

NPI assigned

Mar 31, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Juliette McClendon, PHDNPI 1225640758

Title

Co-President

Phone

(314) 422-2005

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juliette McClendon, PHD

  • Clinical Psychologist
  • Boston, MA
  • NPI 1225640758
  NPD (past) Authorized official
• Kimberlye E Dean, PHD

  • Clinical Psychologist
  • Boston, MA
  • NPI 1649832486
  NPD

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1518662436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 BOYLSTON ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162774",
            "telephone_number": "314-422-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 BOYLSTON ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162774",
            "telephone_number": "508-964-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD PSYCHOTHERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "314-422-2005",
        "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": []
}

• Jose Miguel Trevejo, M.D., PH.D.
• Gretchen Fisher Treves, PAC
• S. Ted Treves, MD
• Gabriel Trevino Verastegui, MD PHD
• Glenn R. Trezza, PH.D.
• Virginia Athena Triant, MD, MPH
• Theodora Triantafilopoulos, R.N.
• Georgios Triantafyllou, M.D.
• Kathryn Tribulski, AUD
• Alec Lawrence Tributino, DO

• Adult Mental Health Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.