Alicia R Doherty

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

386 W Broadway
2ND Floor Counseling Center
Boston, MA 02127-2215

Phone

(617) 534-9500

Fax

(617) 534-9515

NPI assigned

Apr 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alicia R Randall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1942444252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 W BROADWAY",
            "address_2": "2ND FLOOR COUNSELING CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272215",
            "telephone_number": "617-534-9500",
            "fax_number": "617-534-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 W BROADWAY",
            "address_2": "2ND FLOOR COUNSELING CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272215",
            "telephone_number": "617-534-9500",
            "fax_number": "617-534-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "ALICIA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "RANDALL",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mariam Dogar, MD
• Alexander L Dogon, M.D.
• Michelle L Dogum, CNP
• Scott R. Doheny, MD, PHARM. D.
• Alisse Doherty Hannaford, MD
• Angelina Maria Doherty, NP
• Devin Patrick Doherty
• Elyse Doherty, PA-C
• Frederick J. Doherty, MD
• Gerard Doherty, R.N.

• Mental Health Counselor in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.