East Boston Behavioral Health and Medicine LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EAST BOSTON BEHAVIORAL HEALTH AND MEDICINE LLC

Practice address

464 Bremen St Ste 4
East Boston, MA 02128-1430

Phone

(617) 567-9200

Fax

(617) 567-9300

NPI assigned

Jun 2, 2020

Last updated

Oct 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sabina Ferreira Tavares, NPNPI 1477064293

Title

Ceo

Phone

(617) 567-9200

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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.

• Sabina Ferreira Tavares, CNP

  • Psychiatry Physician
  • East Boston, MA
  • NPI 1477064293
  NPD Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1669096996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 BREMEN ST STE 4",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281430",
            "telephone_number": "617-359-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 BREMEN ST STE 4",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281430",
            "telephone_number": "617-567-9200",
            "fax_number": "617-567-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Old Derby St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hingham",
            "state": "MA",
            "postal_code": "020434066",
            "country_code": "US",
            "telephone_number": "781-496-2889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST BOSTON BEHAVIORAL HEALTH AND MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "TAVARES",
        "authorized_official_first_name": "SABINA",
        "authorized_official_middle_name": "FERREIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-567-9200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eastiebm@ebbhm.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "464 Bremen St Ste 4",
            "city": "East Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021281430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colleen Duddy, RDN
• Rebecca Durgin, LMHC
• Kozeta Durishti
• Anne Dwyer-Wilmer, MD
• Sarah Elizabeth Dybizbanski
• East Boston Chiropractic and Rehabilitation Clinic, Inc.
• East Boston Dental and Orthodontics PC
• East Boston Family Dental Center
• East Boston Family Wellness Center, Inc.
• East Boston Physical Therapy Center, Inc.

• Psychiatry Physician in East Boston, MA
• Providers in East Boston, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.