New Branch Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEW BRANCH THERAPY LLC

Practice address

131 Summer St
Bridgewater, MA 02325

Phone

(508) 203-1051

NPI assigned

Jun 2, 2023

Organization subpart

No

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

Authorized official

Name

Trista M Maccini, LICSWNPI 1316444870

Title

Owner

Phone

(508) 203-1051

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.

• Trista M Maccini, LCSW

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1316444870
  NPD Authorized official

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1588357628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 WEST ST.",
            "address_2": "STE. 3 #1034",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "02048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SUMMER ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "02325",
            "telephone_number": "508-203-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRANCH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "MACCINI",
        "authorized_official_first_name": "TRISTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-203-1051",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Murphy, ATC, LAT
• Sarah Myers
• Kevin Myren, PT, DPT
• National Healthcare Corporation
• Virginia W Ndungu, PA-C
• New Seasons Counseling LLC
• Marilynn Newcomb, ANP - BC
• Cody Lee Nicholson, LMHC
• Bernadette Nicolas-Francis, NP
• Ann Marie Nolan, NP

• Community/Behavioral Health Agency in Bridgewater, MA
• Providers in Bridgewater, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.