Active NPI
Back Bay Mental Health LLC
- Adult Mental Health Clinic/Center
- Boston, MA
National Provider Identifier
1922830041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- BACK BAY MENTAL HEALTH LLC
- Practice address
- 975 Commonwealth Ave
Boston, MA 02215-1305 - Phone
- (781) 929-0789
- NPI assigned
- Aug 16, 2024
- Last updated
- Jun 22, 2026
- 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
- Krystin Quinn
- Title
- VP Operations
- Phone
- (617) 765-0625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary |
Addresses
Primary practice location
975 Commonwealth Ave
Boston, MA 02215-1305
Mailing address
8 Essex Center Dr # 310
Peabody, MA 01960-2959
Phone (617) 765-0625
National Provider Directory
National Provider DirectoryLocations
975 Commonwealth Ave
Boston, MA 02215
Phone (617) 938-3473
8 Essex Center Dr
#310
Peabody, MA 01960
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Boston, MA
- NPI 1336039767
-
- Psychiatric/Mental Health Nurse Practitioner
- Burlington, MA
- NPI 1902585052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1922830041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 ESSEX CENTER DR # 310",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602959",
"telephone_number": "617-765-0625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 COMMONWEALTH AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022151305",
"telephone_number": "781-929-0789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK BAY MENTAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-16",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "QUINN",
"authorized_official_first_name": "KRYSTIN",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "617-765-0625"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.