Supportive Behavioral Care of Ma LLC
Organization Active NPI Clinical Psychologist · Needham, MA
NPI 1780115519 · NPPES record last updated Sep 3, 2026
Key facts
- NPI
- 1780115519
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- SUPPORTIVE BEHAVIORAL CARE OF MA LLC
- Practice address
- 150 Lincoln St
Needham, MA 02492-2914 - Phone
- (718) 298-4375
- NPI assigned
- Mar 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Raphael Lichtschein
- Title
- President
- Phone
- (718) 298-4375
Practitioners 230
-
Faith Anne Adams, LCSW
-
Velda Alexandre, BSN-RN
-
Helder Rodrigues Alves, LMHC
-
Rose Pendala Andrejczyk, PSY.D
-
Ngozi Olamma Arua, RN, BSN, MSN, PMHNP
-
Mercy Asare, APRN
-
Deborah S Cole, ED.D.
-
Teodora Cornelus, PMHNP
-
Beatrice Desir, PMHNP-BC
-
Sunders Dorcely, ARNP
-
Jennifer Elizabeth Gibbons, LICSW
-
Mercy Mukami Irura, PMHNP-BC
-
Enel Joseph, CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170614000877 | MA | Part B Supplier - Clinic/Group Practice | 8628346731 |
Receives reassigned benefits from 227 practitioners Practice locations: Boston, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
150 Lincoln St
Needham, MA 02492-2914
Mailing address
14 Shemen St
Lakewood, NJ 08701-3662
Other providers in Needham, MA
- Richard Strakus
- Robert Edward Stull
- Christine Louise Sullivan
- Mary Elizabeth Sullivan
- Gina Sultan
- Tyler Swanberg
- Joanne Beth Sweeney
- Sean Joseph Sweeney
- Kaitlyn Switalski
- T & R Home Care, Inc.
All providers in Needham, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.