Organization Active NPI

Emily Hotz PSYD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waltham, MA
National Provider Identifier
1568064111
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EMILY HOTZ PSYD LLC
Practice address
40 Crescent St Ste 201
Waltham, MA 02453-4313
Phone
(781) 317-1000
Fax
(781) 996-0073
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Emily Hotz, PSY.D.NPI 1972903250
Title
Owner
Phone
(781) 317-1000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

40 Crescent St Ste 201
Waltham, MA 02453-4313

Mailing address

230 Beal Rd
Waltham, MA 02453-6771

National Provider Directory

National Provider Directory

Locations

40 Crescent St
Ste 201
Waltham, MA 02453
Phone (617) 538-8242

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1568064111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BEAL RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024536771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CRESCENT ST STE 201",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534313",
            "telephone_number": "781-317-1000",
            "fax_number": "781-996-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY HOTZ PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "HOTZ",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-317-1000",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.