Boston Institute for Psychotherapy, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

4091 Issued in MA

Legal business name

BOSTON INSTITUTE FOR PSYCHOTHERAPY, INC.

Practice address

1415 Beacon St
Lower Level
Brookline, MA 02446-4816

Phone

(617) 566-2200

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marcy Yuknat, PSY.D.

Title

Interim Executive Director

Phone

(617) 566-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1720130081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464816",
            "telephone_number": "617-566-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464816",
            "telephone_number": "617-566-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON INSTITUTE FOR PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "YUKNAT",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-566-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "4091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303996",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boston Eye Group, P.C.
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• Boston Gonstead Chiropractic LLC
• Boston Heart Group
• Boston Laser Eye Institute, PC
• Boston Laser Eye Institute, PC
• Boston Maternal-Fetal Medicine, LLC
• Boston Medical Center
• Boston MFM, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brookline, MA
• Providers in Brookline, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.