Amanda Bravo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

51 Kondazian St
Watertown, MA 02472-2830

Phone

(617) 657-9227

NPI assigned

Oct 26, 2020

Last updated

Oct 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Artrelief LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Watertown, MA
  • NPI 1427657923
  NPD

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1659970143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CAPEN ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021244211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 KONDAZIAN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722830",
            "telephone_number": "617-657-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "secureamanda@artrelief.info",
            "affiliation": "N",
            "address_1": "51 Kondazian St",
            "city": "Watertown",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024722830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Bowsza
• Eileen D. Boynton
• Nancy T. Bradley
• Natalie E Brainerd, DPT
• Michelle Braley
• Elizabeth Gail Brenner, MSW, LICSW
• Brigham House Assisted Living
• Linda Starr Britte, M.ED.
• Nicole Brocious
• Ian Leonard Brock, D.C.

• Mental Health Counselor in Watertown, MA
• Providers in Watertown, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.