Organization Active NPI

Billerica Counseling Center

  • Clinical Psychologist
  • Billerica, MA
National Provider Identifier
1811169238
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8678 Issued in MA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.