Active NPI
En Psychotherapy, LLC
- Clinical Social Worker
- Northborough, MA
National Provider Identifier
1639475155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1022125
- Legal business name
- EN PSYCHOTHERAPY, LLC
- Doing business as
- Elizabeth Nixon SOLE MBR
- Practice address
- 300 W Main St
Northborough, MA 01532-2132 - Phone
- (508) 330-4737
- NPI assigned
- Jan 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Nixon, LICSW
- Title
- Owner
- Phone
- (508) 330-4737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1022125 | MA | Primary |
Addresses
Primary practice location
300 W Main St
Northborough, MA 01532-2132
Mailing address
300 W Main St
Northborough, MA 01532-2132
Phone (508) 330-4737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NI P06533 | Other | MA | MEDICARE B |
Other names 1
- Elizabeth Nixon SOLE MBR
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296432000000",
"number": "1639475155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W MAIN ST",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015322132",
"telephone_number": "508-330-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W MAIN ST",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015322132",
"telephone_number": "508-330-4737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EN PSYCHOTHERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-31",
"last_updated": "2011-01-31",
"status": "A",
"authorized_official_last_name": "NIXON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-330-4737",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1022125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "NI P06533",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elizabeth Nixon SOLE MBR",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Northborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.