Active NPI
Billerica Counseling Center
- Clinical Psychologist
- Billerica, MA
National Provider Identifier
1811169238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8678
- Legal business name
- BILLERICA COUNSELING CENTER
- Practice address
- 572 Boston Rd
Suite 14
Billerica, MA 01821-3776 - Phone
- (781) 572-4550
- NPI assigned
- Mar 26, 2008
- Last updated
- Mar 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gina M Aguayo, PH.D.
- Title
- Clinical Psychologist
- Phone
- (781) 572-4550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8678 | MA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2402 | MA |
Addresses
Primary practice location
572 Boston Rd
Suite 14
Billerica, MA 01821-3776
Mailing address
572 Boston Rd
Suite 14
Billerica, MA 01821-3776
Phone (781) 572-4550
National Provider Directory
National Provider DirectoryLocations
572 Boston Rd
Unit 14
Billerica, MA 01821
Phone (781) 696-2070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206489600000",
"number": "1811169238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 BOSTON RD",
"address_2": "SUITE 14",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018213776",
"telephone_number": "781-572-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 BOSTON RD",
"address_2": "SUITE 14",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018213776",
"telephone_number": "781-572-4550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BILLERICA COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-26",
"last_updated": "2008-03-26",
"status": "A",
"authorized_official_last_name": "AGUAYO",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "781-572-4550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8678",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "2402",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billerica, MA
- Bethel Care International Inc
- Bethel Pathways LLC
- BH Brightview Concord River Opco, LLC (Brightview Concord River)
- Komal V Bhagat
- Billerica Chiropractic Office,P.C.
- Billerica Family Dental
- Blue Square Counseling and Wellness Center, PLLC
- Katie Elizabeth Boiardi
- Melissa Braga, LICSW
- Samantha Janet Bright
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.