NPIMap

Organization Active NPI

Cognitive Behavior Therapy Associates, LLC

  • Cognitive & Behavioral Psychologist
  • Medford, MA
National Provider Identifier
1871873679
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
COGNITIVE BEHAVIOR THERAPY ASSOCIATES, LLC
Practice address
20 Forest St Unit 1020
Medford, MA 02155-7743
Phone
(339) 224-7695
Fax
(781) 281-0644
NPI assigned
Aug 24, 2011
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dr. James A VermilyeaNPI 1124356233
Title
PH.D/Clinical Psychologist
Phone
(339) 224-7695

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
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

20 Forest St Unit 1020
Medford, MA 02155-7743

Mailing address

20 Forest St Unit 1020
Medford, MA 02155-7743
Phone (339) 224-7695

National Provider Directory

National Provider Directory

Locations

20 Forest St
Unit 1020
Medford, MA 02155
Phone (339) 224-7695

Practitioners & affiliated clinicians

Practitioners 4

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": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1871873679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FOREST ST UNIT 1020",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021557743",
            "telephone_number": "339-224-7695",
            "fax_number": "781-281-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FOREST ST UNIT 1020",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021557743",
            "telephone_number": "339-224-7695",
            "fax_number": "781-281-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE BEHAVIOR THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "VERMILYEA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PH.D/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "339-224-7695",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.