Active NPI
Achieve New England, LLC
- Clinical Psychologist
- Concord, MA
National Provider Identifier
1710439617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY9369
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Concord, MA
- NPI 1043969439
-
- Clinical Psychologist
- Concord, MA
- NPI 1861231847
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
- 128 Medical Group LLC (CREATE Health and Wellness)
- 57 Old Road to Nine Acre Corner Operating Company, LLC (Concord Healthcare Center)
- A Beautiful Day Counseling LLC
- Nina Meltzer Abelowitz
- Jenica Kowlowitz Abram, MPH, RDN, LDN
- Acu&Moxa Essences Inc. (Baicao Acumoxa Essence)
- Adele Chambers D.M.D. P.C.
- Karen Adriano, CCC-SLP
- Adult & Pediatric Dermatology, P.C.
- Aerodiagnostics LLC
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.