Active NPI
Therapy for Intentional Living, Inc.
- Community/Behavioral Health Agency
- Beverly, MA
National Provider Identifier
1902137623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1020919
- Legal business name
- THERAPY FOR INTENTIONAL LIVING, INC.
- Practice address
- 900 Cummings Ctr
Suite 408-S
Beverly, MA 01915-6198 - Phone
- (781) 724-9039
- Fax
- (781) 990-3051
- NPI assigned
- Jan 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elissa Riggio Tosi, LICSW
- Title
- President
- Phone
- (781) 724-9039
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1020919 | MA | Primary |
Addresses
Primary practice location
900 Cummings Ctr
Suite 408-S
Beverly, MA 01915-6198
Mailing address
50 Jersey St
Marblehead, MA 01945-2452
Phone (781) 724-9039
National Provider Directory
National Provider DirectoryLocations
900 Cummings Ctr
Ste 408S
Beverly, MA 01915
Phone (781) 724-9039
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Salem, MA
- NPI 1407887300
-
- Counselor
- Salem, MA
- NPI 1396933412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276473600000",
"number": "1902137623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 JERSEY ST",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019452452",
"telephone_number": "781-724-9039",
"fax_number": "781-990-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CUMMINGS CTR",
"address_2": "SUITE 408-S",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156198",
"telephone_number": "781-724-9039",
"fax_number": "781-990-3051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY FOR INTENTIONAL LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-20",
"last_updated": "2010-06-14",
"status": "A",
"authorized_official_last_name": "TOSI",
"authorized_official_first_name": "ELISSA",
"authorized_official_middle_name": "RIGGIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-724-9039",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MA",
"license": "1020919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
- Ariel Tetreault, BCBA
- The Artful Life Counseling Center and Studio
- The Beverly Center, P.C.
- The Freedom Wellness Group, Inc (Elements Therapeutic Massage Beverly)
- The Verbal ABA Clinic, LLC (Speech Therapy Group)
- Therapy From the Heart
- Savannah Lyvonne Theriault, BT
- Lisa Ellen Thibodeau, CNM
- Thomas P Rafferty DDS, LLC
- Philip A Thomason, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.