Organization Active NPI

Soultality Center for Psychotherapy, LLC

  • Clinical Social Worker
  • Cambridge, MA
National Provider Identifier
1962066746
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOULTALITY CENTER FOR PSYCHOTHERAPY, LLC
Practice address
1218 Massachusetts Ave
Cambridge, MA 02138-3835
Phone
(617) 631-8284
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Julia Hale Printz, LICSW
Title
Psychotherapist/ Ceo
Phone
(617) 631-8284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1218 Massachusetts Ave
Cambridge, MA 02138-3835

Mailing address

1218 Massachusetts Ave
Cambridge, MA 02138-3835
Phone (617) 631-8284

National Provider Directory

National Provider Directory

Locations

1218 Massachusetts Ave
Cambridge, MA 02138
Phone (617) 234-4488

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": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1962066746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383835",
            "telephone_number": "617-631-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383835",
            "telephone_number": "617-631-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULTALITY CENTER FOR PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "PRINTZ",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "HALE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/ CEO",
        "authorized_official_telephone_number": "617-631-8284",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.