Organization Active NPI

Back Bay Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boston, MA
National Provider Identifier
1750163978
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BACK BAY PSYCHIATRY
Practice address
264 Beacon St FL 2
Boston, MA 02116-1236
Phone
(857) 278-1435
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Ms. Anna Roglieri, MSNNPI 1003035478
Title
Pmhcns-BC
Phone
(617) 680-5205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

264 Beacon St FL 2
Boston, MA 02116-1236

Mailing address

60 Myopia Rd
Winchester, MA 01890-3745
Phone (617) 680-5205

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1750163978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MYOPIA RD",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018903745",
            "telephone_number": "617-680-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BEACON ST FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161236",
            "telephone_number": "857-278-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK BAY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-21",
        "status": "A",
        "authorized_official_last_name": "ROGLIERI",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PMHCNS-BC",
        "authorized_official_telephone_number": "617-680-5205",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Oct 23, 2023; 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.