Organization Active NPI

Insight Brookline Psychotherapy

  • Clinical Psychologist
  • Brookline, MA
National Provider Identifier
1558815407
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7972 Issued in MA
Legal business name
INSIGHT BROOKLINE PSYCHOTHERAPY
Practice address
1269 Beacon St
Floor 3
Brookline, MA 02446-5248
Phone
(562) 215-1808
NPI assigned
Aug 9, 2016
Last updated
Aug 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Llerendel Gripeos
Title
Operations Director
Phone
(562) 215-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 7972 MA Primary

Addresses

Primary practice location

1269 Beacon St
Floor 3
Brookline, MA 02446-5248

Mailing address

1269 Beacon St
Floor 3
Brookline, MA 02446-5248

National Provider Directory

National Provider Directory
Tax ID family
Insight Brookline Psychotherapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1558815407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 BEACON ST",
            "address_2": "FLOOR 3",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 BEACON ST",
            "address_2": "FLOOR 3",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465248",
            "telephone_number": "562-215-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT BROOKLINE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "GRIPEOS",
        "authorized_official_first_name": "LLERENDEL",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "562-215-1808"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7972",
            "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 Aug 9, 2016; 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.