Organization Active NPI

Marvin Behavioral Health Ma PC

  • Psychologist
  • Boston, MA
National Provider Identifier
1740860428
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MARVIN BEHAVIORAL HEALTH MA PC
Practice address
177 Huntington Ave
Boston, MA 02115-3134
Phone
(610) 937-2023
NPI assigned
Apr 8, 2021
Last updated
Aug 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Aparna Atluru, MD
Title
President
Phone
(713) 818-8133

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

177 Huntington Ave
Boston, MA 02115-3134

Mailing address

4136 Del Rey Ave Ste 626
Marina del Rey, CA 90292-5604

Other practice location 1

4136 Del Rey Ave Ste 626
Marina Del Rey, CA 90292-5604
Phone (617) 249-6854

Other practice location 2

4136 Del Rey Ave Ste 626
Marina Del Rey, CA 90292-5604
Phone (617) 249-6854

Other practice location 3

2929 Walnut St
Philadelphia, PA 19104-5054
Phone (617) 249-6854

Other practice location 4

300 Deschutes Way SW Ste 208
Tumwater, WA 98501-7719
Phone (617) 249-6854

National Provider Directory

National Provider Directory

Locations

6595 Roswell Rd
Ste G3080
Sandy Springs, GA 30328

177 Huntington Ave
Boston, MA 02115
Phone (610) 937-2023

177 Huntington Ave
Ste 17
Boston, MA 02115
Phone (617) 249-6854

180 Talmadge Rd
Ste 223
Edison, NJ 08817

2929 Walnut St
Philadelphia, PA 19104
Phone (617) 249-6854

Practitioners & affiliated clinicians

Practitioners 196

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.

View all 196

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1740860428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 DEL REY AVE STE 626",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021153134",
            "telephone_number": "610-937-2023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4136 Del Rey Ave Ste 626",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902925604",
            "country_code": "US",
            "telephone_number": "617-249-6854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4136 Del Rey Ave Ste 626",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902925604",
            "country_code": "US",
            "telephone_number": "617-249-6854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2929 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191045054",
            "country_code": "US",
            "telephone_number": "617-249-6854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Deschutes Way SW Ste 208",
            "address_purpose": "LOCATION",
            "city": "Tumwater",
            "state": "WA",
            "postal_code": "985017719",
            "country_code": "US",
            "telephone_number": "617-249-6854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARVIN BEHAVIORAL HEALTH MA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "ATLURU",
        "authorized_official_first_name": "APARNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-818-8133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 31, 2022; 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.