Ayon Bose, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

45 Lyman St Ste 11
Westborough, MA 01581

Phone

(508) 791-3677

NPI assigned

Apr 19, 2011

Last updated

Jun 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• N/a N/a Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Behavioral Health Inc.

  • Clinical Psychologist
  • Worcester, MA
  • NPI 1902227275

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1760772123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051223",
            "telephone_number": "508-791-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LYMAN ST STE 11",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-791-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSE",
        "first_name": "AYON",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennie Bogaert, LMHC
• Matthew K Bonner, M.D.
• Mark Ernest Booher, PH.D.
• Heather Marie Borelli
• Kristin A Bornstein, M.ED
• Amber Boss, LCSW
• Boston Metro Neuropsychology
• Boston Sports & Shoulder Center, LLC (Boston Sports & Shoulder Center)
• Kara A Bouchard, FNP, RN
• Erin Lee Boudreaux, PH.D.

• Mental Health Counselor in Westborough, MA
• Providers in Westborough, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.