Cognitive Behavioral Therapeutics PC
Organization Active NPI Clinical Psychologist · Hanover, MA
NPI 1801489349 · NPPES record last updated Feb 16, 2021
Key facts
- NPI
- 1801489349
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- COGNITIVE BEHAVIORAL THERAPEUTICS PC
- Practice address
- 16 Honeysuckle LN
Hanover, MA 02339-3113 - Phone
- (508) 269-0670
- NPI assigned
- Feb 16, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Leena A Patel, PSYD
- Title
- President/Clinical Psychologist
- Phone
- (508) 269-0670
Practitioners 1
-
Leena A Patel, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210420000838 | MA | Part B Supplier - Clinic/Group Practice | 4486062031 |
Receives reassigned benefits from 1 practitioner Practice locations: Hanover, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
16 Honeysuckle LN
Hanover, MA 02339-3113
Mailing address
16 Honeysuckle LN
Hanover, MA 02339-3113
Other providers in Hanover, MA
- Civis LLC
- Julie Jasper Clancy
- Antoinette Clapp
- Coastal Integrative Mental Health Inc.
- Coastal Wellness LLC
- Heather Lee Colangelo
- Samantha Elizabeth Colaw
- Susan D Colcher
- Cole Vision Corporation
- Community Physical Therapy
All providers in Hanover, 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 Feb 16, 2021. 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.