NPIMap

Organization Active NPI

Greater Boston Psychiatric Services, LLC

  • Adult Mental Health Clinic/Center
  • Medway, MA
National Provider Identifier
1841643699
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
RN272217 Issued in MA
Legal business name
GREATER BOSTON PSYCHIATRIC SERVICES, LLC
Practice address
165 Main St Unit 111E
Medway, MA 02053-1584
Phone
(508) 321-3210
NPI assigned
Jul 18, 2016
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Caryn Metzger, PMHCNS
Title
Owner
Phone
(617) 312-2825

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X RN272217 MA
Adult Mental Health Clinic/Center 261QM0850X RN272217 MA Primary
Prescribing (Medical) Psychologist 103TP0016X RN272217 MA

Addresses

Primary practice location

165 Main St Unit 111E
Medway, MA 02053-1584

Mailing address

165 Main St Unit 111E
Medway, MA 02053-1584
Phone (508) 321-3210

Other identifiers 1

IdentifierTypeStateIssuer
1922246743OtherMAINDIVIDUAL NPI NUMBER FOR CARYN METZGER

National Provider Directory

National Provider Directory

Locations

165 Main St
Ste 111A
Medway, MA 02053

165 Main St
Unit 111E
Medway, MA 02053
Phone (508) 233-3249

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1841643699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAIN ST UNIT 111E",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531584",
            "telephone_number": "508-321-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST UNIT 111E",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531584",
            "telephone_number": "508-321-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "CARYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-312-2825",
        "authorized_official_credential": "PMHCNS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "RN272217",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "RN272217",
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MA",
            "license": "RN272217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER FOR CARYN METZGER",
            "identifier": "1922246743",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medway, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.