Boston Center for Memory, Inc

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

BOSTON CENTER FOR MEMORY, INC

Practice address

180 Wells Ave.
Suite 304
Newton, MA 02459

Phone

(617) 699-6927

Fax

(617) 383-5874

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Elizabeth Vasey, PH.D.

Title

Manager

Phone

(978) 993-7168

Specialties & licenses 1

Addresses

Other names 1

• Boston Center For Memory, Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Mary Kathleen Oram, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Boston, MA
  • NPI 1487430369
  Medicare reassignment Care Compare group NPD
• Thomas Britton Percy, MD

  • Internal Medicine Physician
  • Westfield, MA
  • NPI 1699709352
  Medicare reassignment Care Compare group NPD
• Paul R. Solomon, PH.D.

  • Clinical Neuropsychologist
  • Newton, MA
  • NPI 1417029802
  Medicare reassignment NPD
• Oleg Yerokhin Yerstein, M.D.

  • Neurology Physician
  • Burlington, MA
  • NPI 1689093270
  Medicare reassignment NPD
• Angela Plummer, MSPT

  • Geriatric Physical Therapist
  • Medford, MA
  • NPI 1336362094
  NPD
• Elizabeth A. Vassey, PSY.D.

  • Student in an Organized Health Care Education/Training Program
  • Newton, MA
  • NPI 1730416363
  NPD (past)

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1609142017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WELLS AVE.",
            "address_2": "SUITE 304",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02459",
            "telephone_number": "617-699-6927",
            "fax_number": "617-383-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WELLS AVE.",
            "address_2": "SUITE 304",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02459",
            "telephone_number": "617-699-6927",
            "fax_number": "617-383-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON CENTER FOR MEMORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "VASEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-993-7168",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Center For Memory, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Behavioral Neurology & Neuropsychiatry Physician in Newton, MA
• Providers in Newton, MA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.