Organization Active NPI

Achieve New England, LLC

  • Clinical Psychologist
  • Concord, MA
National Provider Identifier
1710439617
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9369 Issued in MA
Legal business name
ACHIEVE NEW ENGLAND, LLC
Practice address
801 Main St
Suite 7
Concord, MA 01742-3313
Phone
(617) 539-6762
Fax
(617) 275-4071
NPI assigned
Oct 26, 2016
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Dr. Nathan Daniel Doty, PH.D.
Title
Licensed Psychologist & Co-Director
Phone
(617) 539-6762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY9369 MA Primary

Addresses

Primary practice location

801 Main St
Suite 7
Concord, MA 01742-3313

Mailing address

801 Main St
Suite 7
Concord, MA 01742-3313
Phone (617) 539-6762

Other names 1

  • Neuropsychological Assessment and Consulting Services LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

801 Main St
Ste 7
Concord, MA 01742
Phone (617) 539-6762

Practitioners & affiliated clinicians

Practitioners 2

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": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1710439617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MAIN ST",
            "address_2": "SUITE 7",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423313",
            "telephone_number": "617-539-6762",
            "fax_number": "617-275-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MAIN ST",
            "address_2": "SUITE 7",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423313",
            "telephone_number": "617-539-6762",
            "fax_number": "617-275-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE NEW ENGLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST & CO-DIRECTOR",
        "authorized_official_telephone_number": "617-539-6762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PY9369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuropsychological Assessment and Consulting Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.