Organization Active NPI

Greater Boston Assessment & Treatment, LLC

  • Clinical Psychologist
  • Concord, MA
National Provider Identifier
1932824430
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GREATER BOSTON ASSESSMENT & TREATMENT, LLC
Practice address
747 Main St Ste 228
Concord, MA 01742-3302
Phone
(617) 651-2207
NPI assigned
Oct 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Dr. Kirstin Birtwell, PHDNPI 1740625318
Title
Founder / Clinical Psychologist
Phone
(617) 651-2207

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

747 Main St Ste 228
Concord, MA 01742-3302

Mailing address

PO Box 300730
Jamaica Plain, MA 02130-0007

Other practice location 1

124 Watertown St Ste 3A
Watertown, MA 02472-2599
Phone (617) 651-2207

National Provider Directory

National Provider Directory

Locations

747 Main St
Ste 228
Concord, MA 01742
Phone (617) 651-2207

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": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1932824430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300730",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021300007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MAIN ST STE 228",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423302",
            "telephone_number": "617-651-2207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Watertown St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MA",
            "postal_code": "024722599",
            "country_code": "US",
            "telephone_number": "617-651-2207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREATER BOSTON ASSESSMENT & TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "BIRTWELL",
        "authorized_official_first_name": "KIRSTIN",
        "authorized_official_title_or_position": "FOUNDER / CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-651-2207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.