Organization Active NPI

Ego Therapy, LLC

  • Clinical Social Worker
  • Danvers, MA
National Provider Identifier
1801759261
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EGO THERAPY, LLC
Practice address
199 Rosewood Dr Ste 101
Danvers, MA 01923-4588
Phone
(978) 652-8150
NPI assigned
Dec 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Brunilda Gjimara, LICSWNPI 1932969110
Title
Ceo
Phone
(978) 652-8150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

199 Rosewood Dr Ste 101
Danvers, MA 01923-4588

Mailing address

22 Buxton St
Peabody, MA 01960-3118
Phone (978) 652-8150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260421000117 MA Part B Supplier - Clinic/Group Practice 0840766481 Receives reassigned benefits from 1 practitioner
Practice locations: Danvers, MA; Peabody, MA

National Provider Directory

National Provider Directory

Locations

199 Rosewood Dr
Ste 101
Danvers, MA 01923
Phone (978) 652-8150

199 Rosewood Dr
Danvers, MA 01923
Phone (978) 291-7065

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1801759261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BUXTON ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603118",
            "telephone_number": "978-652-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 ROSEWOOD DR STE 101",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234588",
            "telephone_number": "978-652-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGO THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "GJIMARA",
        "authorized_official_first_name": "BRUNILDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-652-8150",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.