Nova Psychotherapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NOVA PSYCHOTHERAPY, LLC

Practice address

264 Beacon St FL 5
Boston, MA 02116-1236

Phone

(617) 936-0309

Fax

(617) 936-0309

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Fabiana Casanova, LMHC

Title

Psychotherapist

Phone

(617) 936-0309

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770004038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 BEACON ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161236",
            "telephone_number": "617-936-0309",
            "fax_number": "617-936-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BEACON ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161236",
            "telephone_number": "617-936-0309",
            "fax_number": "617-936-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Columbus Ave Apt 20",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021183455",
            "country_code": "US",
            "telephone_number": "617-650-8485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVA PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "FABIANA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "617-936-0309",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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