NPIMap

Organization Active NPI

Cbteam LLC

  • Clinical Psychologist
  • Lexington, MA
National Provider Identifier
1669074621
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CBTEAM LLC
Practice address
81 Hartwell Avenue
Suite 310
Lexington, MA 02421-3160
Phone
(706) 296-9661
NPI assigned
Nov 13, 2020
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Jason Elias, PHDNPI 1801071865
Title
President/Owner
Phone
(706) 296-9661

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
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

81 Hartwell Avenue
Suite 310
Lexington, MA 02421-3160

Mailing address

81 Hartwell Ave Ste 310
Lexington, MA 02421-3160

National Provider Directory

National Provider Directory

Locations

22 Mill St
Ste 108
Arlington, MA 02476
Phone (617) 848-4417

81 Hartwell Ave
Ste 310
Lexington, MA 02421
Phone (781) 541-4464

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1669074621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HARTWELL AVE STE 310",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024213160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HARTWELL AVENUE",
            "address_2": "SUITE 310",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024213160",
            "telephone_number": "706-296-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBTEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "706-296-9661",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.