New England Center for Ocd and Anxiety Boston PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NEW ENGLAND CENTER FOR OCD AND ANXIETY BOSTON PLLC

Practice address

612 Main St
Melrose, MA 02176-3116

Phone

(401) 829-8491

NPI assigned

Jan 28, 2020

Last updated

Jan 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa W Coyne, PHD

Title

Director

Phone

(401) 829-8491

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lisa W. Coyne, PhD LLC Former legal business name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1770114951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763116",
            "telephone_number": "401-829-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763116",
            "telephone_number": "401-829-8491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021402218",
            "country_code": "US",
            "telephone_number": "401-829-8491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Concord Ave",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021382322",
            "country_code": "US",
            "telephone_number": "401-829-8491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW ENGLAND CENTER FOR OCD AND ANXIETY BOSTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "COYNE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-829-8491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669707592",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110-138-102-A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Melrose",
            "affiliation": "N",
            "address_1": "612 Main St",
            "city": "Melrose",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021763116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lisa W. Coyne, PhD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dana Ann Nardone
• Jerry Charles Neistadt, MSPT
• Nelson Pan DDS Debra Hong Pan DMD Ms LLC (Nelson Pan DDS Debra Hong Pan DMD)
• Enedino R.B. Neto
• Neuro-Rehab Management, Inc.
• Nicola Mogavero MD Facr
• Nicole Bloor, M.D., P.C.
• Candice Noke, CNP
• Sara Nolin, PHD
• Nowak Family Dental LLC

• Psychologist in Melrose, MA
• Providers in Melrose, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.