NPIMap

Organization Active NPI

Center for Anxiety and Related Disorders at Boston University

  • Cognitive & Behavioral Psychologist
  • Boston, MA
National Provider Identifier
1740583327
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
4H8L Issued in MA
Legal business name
CENTER FOR ANXIETY AND RELATED DISORDERS AT BOSTON UNIVERSITY
Practice address
648 Beacon St Ste 6
Boston, MA 02215-2013
Phone
(617) 353-9610
Fax
(617) 353-9609
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Mrs. Bonnie Brown, RN
Title
Nurse Administrator
Phone
(617) 353-9610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 4H8L MA Primary

Addresses

Primary practice location

648 Beacon St Ste 6
Boston, MA 02215-2013

Mailing address

648 Beacon St Ste 6
Boston, MA 02215-2013
Phone (617) 353-9610

National Provider Directory

National Provider Directory
Tax ID family
Boston University Henry M Goldman School of Dental Medicine22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

648 Beacon St
Ste 6
Boston, MA 02215
Phone (617) 353-9610

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1740583327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 BEACON ST STE 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152013",
            "telephone_number": "617-353-9610",
            "fax_number": "617-353-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 BEACON ST STE 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152013",
            "telephone_number": "617-353-9610",
            "fax_number": "617-353-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ANXIETY AND RELATED DISORDERS AT BOSTON UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "NURSE ADMINISTRATOR",
        "authorized_official_telephone_number": "617-353-9610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MA",
            "license": "4H8L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.