Organization Active NPI

Therapy for Intentional Living, Inc.

  • Community/Behavioral Health Agency
  • Beverly, MA
National Provider Identifier
1902137623
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1020919 Issued in MA
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

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Elissa Riggio Tosi, LICSWNPI 1407887300
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.