Affect Provider Group P.S.C.
Organization Active NPI Mental Health Counselor · Boston, MA
NPI 1689554362 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1689554362
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- AFFECT PROVIDER GROUP P.S.C.
- Practice address
- 90 Canal St Ste 4
Boston, MA 02114-2022 - Phone
- (845) 769-8758
- NPI assigned
- Sep 4, 2025
- Organization subpart
- No
Authorized official
- Name
- Karla Renee Mullings
- Title
- Director of Compliance
- Phone
- (845) 768-8758
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 22
Practitioners 1
-
Andrietta Wright Barnett, DNP FNP-C PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260330000115 | MA | Part B Supplier - Clinic/Group Practice | 5597105684 |
Receives reassigned benefits from 1 practitioner Practice locations: Boston, MA |
National Provider Directory
- Tax ID family
- Affect
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes | ||
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
90 Canal St Ste 4
Boston, MA 02114-2022
Mailing address
PO Box 96635
Phoenix, AZ 85072-6635
Phone (845) 760-8758
Other providers in Boston, MA
- Tessa Adzemovic
- Nezam H Afdhal
- Megan Afeltra
- Yetunde O Afere
- Eddie Komi Afetse
- Linda M Afifi
- Jonathan Afilalo
- Titilayo Arinola Afolabi
- Afolake Afolayan
- Fnu Afrah Shibu
All providers in Boston, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.