NPIMap

Organization Active NPI

Boston Evening Therapy Associates, LLC

  • Social Worker
  • Brookline, MA
National Provider Identifier
1881844975
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1032829 Issued in MA
Legal business name
BOSTON EVENING THERAPY ASSOCIATES, LLC
Practice address
7 Kent St
Unit 3
Brookline, MA 02445-7959
Phone
(617) 738-1480
Fax
(617) 738-1488
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Mr. Aaron P Gilbert, LICSW
Title
Social Worker
Phone
(617) 738-1480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 1032829 MA Primary

Addresses

Primary practice location

7 Kent St
Unit 3
Brookline, MA 02445-7959

Mailing address

831 Beacon St
#101
Newton, MA 02459-1822
Phone (617) 738-1480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121105000461 MA Part B Supplier - Clinic/Group Practice 3779734553 Receives reassigned benefits from 2 practitioners
Practice locations: Brookline, MA

National Provider Directory

National Provider Directory
Tax ID family
Boston Evening Therapy Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2001 Beacon St
Ste 308
Brighton, MA 02135
Phone (617) 738-1480

7 Kent St
Brookline, MA 02445
Phone (617) 730-4344

7 Kent St
Ste 3
Brookline, MA 02445
Phone (617) 429-2478

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1881844975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 BEACON ST",
            "address_2": "#101",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591822",
            "telephone_number": "617-738-1480",
            "fax_number": "617-738-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 KENT ST",
            "address_2": "UNIT 3",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457959",
            "telephone_number": "617-738-1480",
            "fax_number": "617-738-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON EVENING THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "617-738-1480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1032829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.