Organization Active NPI

Hillside Associates LLC

  • Psychiatry Physician
  • Brighton, MA
National Provider Identifier
1881773158
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
45781 Issued in MA
Legal business name
HILLSIDE ASSOCIATES LLC
Practice address
77 Warren St
BLDG 2, 3Rd Floor
Brighton, MA 02135-3601
Phone
(617) 787-4662
Fax
(617) 787-4662
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Betty Herr, M.D.
Title
Medical Director
Phone
(617) 787-4662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 45781 MA Primary

Addresses

Primary practice location

77 Warren St
BLDG 2, 3Rd Floor
Brighton, MA 02135-3601

Mailing address

77 Warren St
BLDG 2, 3Rd Floor
Brighton, MA 02135-3601
Phone (617) 787-4662

Other identifiers 2

IdentifierTypeStateIssuer
147511000OtherMAMAGELLAN
602106OtherMATUFTS HEALTH PLAN

Other names 1

  • Hillside Associates Doing business as

National Provider Directory

National Provider Directory

Locations

280 Washington St
Ste 305
Brighton, MA 02135
Phone (617) 787-4662

77 Warren St
Bldg 1
Brighton, MA 02135
Phone (617) 383-7804

318 Bear Hill Rd
Ste 7B
Waltham, MA 02451
Phone (617) 787-4662

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1881773158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "address_2": "BLDG 2, 3RD FLOOR",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "617-787-4662",
            "fax_number": "617-787-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "address_2": "BLDG 2, 3RD FLOOR",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "617-787-4662",
            "fax_number": "617-787-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "HERR",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "617-787-4662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "45781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "147511000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "602106",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.