Boston Behavior Therapy LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4233 Issued in MA

Legal business name

BOSTON BEHAVIOR THERAPY LLC

Practice address

300 Trade Center 100 Sylvan Rd
Suite 7790
Woburn, MA 01801-1883

Phone

(781) 281-0213

Fax

(781) 281-0764

NPI assigned

Jun 29, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Vandermerwe

Title

Office Manager

Phone

(603) 580-2337

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James A Vermilyea, PH. D, MBA

  • Cognitive & Behavioral Psychologist
  • Woburn, MA
  • NPI 1124356233
  NPD (past)

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1780995332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TRADE CENTER 100 SYLVAN RD",
            "address_2": "SUITE 7790",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011883",
            "telephone_number": "781-281-0213",
            "fax_number": "781-281-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TRADE CENTER 100 SYLVAN RD",
            "address_2": "SUITE 7790",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011883",
            "telephone_number": "781-281-0213",
            "fax_number": "781-281-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "VANDERMERWE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-580-2337",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLO NPI",
            "identifier": "1124356233",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLO NPI",
            "identifier": "1104053933",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Booth, CNP
• Kristie Ann Borges, LMHC
• Maria Borisenkova
• Daniela Bosque
• Boston Baby Bodywork and Lactation
• Boston Pedorthic Associates, LLC
• Boston Pedorthic Associates, LLC
• Diana Bou Chahine
• Mark Bouchea
• Adina Bourassa, OTR/L

• Clinical Psychologist in Woburn, MA
• Providers in Woburn, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.