Organization Active NPI

Needham Psychotherapy Associates LLC

  • Mental Health Counselor
  • Needham, MA
National Provider Identifier
1811060056
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEEDHAM PSYCHOTHERAPY ASSOCIATES LLC
Practice address
1040 Great Plain Avenue
Third Floor, Suite a
Needham, MA 02492
Phone
(781) 449-3122
Fax
(781) 449-3134
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Dr. Sue Gifford Barrett, PSYD
Title
President
Phone
(617) 901-1298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1040 Great Plain Avenue
Third Floor, Suite a
Needham, MA 02492

Mailing address

1040 Great Plain Avenue
Third Floor, Suite a
Needham, MA 02492
Phone (781) 449-3122

Other identifiers 1

IdentifierTypeStateIssuer
668312OtherMATUFTS

National Provider Directory

National Provider Directory

Locations

992 Great Plain Ave
Needham, MA 02492
Phone (781) 449-4779

1040 Great Plain Ave
Fl Third
Needham, MA 02492
Phone (781) 449-3122

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1811060056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 GREAT PLAIN AVENUE",
            "address_2": "THIRD FLOOR, SUITE A",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02492",
            "telephone_number": "781-449-3122",
            "fax_number": "781-449-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GREAT PLAIN AVENUE",
            "address_2": "THIRD FLOOR, SUITE A",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02492",
            "telephone_number": "781-449-3122",
            "fax_number": "781-449-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEEDHAM PSYCHOTHERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "GIFFORD BARRETT",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-901-1298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "668312",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.