NPIMap

Organization Active NPI

Two Roads Wellness Associates, LLC

  • Clinical Psychologist
  • Newton, MA
National Provider Identifier
1992246086
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9995 Issued in MA
Legal business name
TWO ROADS WELLNESS ASSOCIATES, LLC
Practice address
93 Union St
Suite 406
Newton, MA 02459-2241
Phone
(617) 651-5933
NPI assigned
Mar 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Dr. Erin O'Donnell, PSY.D.
Title
Owner and Psychologist
Phone
(617) 651-5933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 9995 MA Primary

Addresses

Primary practice location

93 Union St
Suite 406
Newton, MA 02459-2241

Mailing address

15 Hazelhurst Ave
Newton, MA 02465-1340
Phone (617) 651-5933

National Provider Directory

National Provider Directory

Locations

93 Union St
Ste 406
Newton Centre, MA 02459
Phone (617) 527-7963

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1992246086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAZELHURST AVE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024651340",
            "telephone_number": "617-651-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 UNION ST",
            "address_2": "SUITE 406",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592241",
            "telephone_number": "617-651-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO ROADS WELLNESS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER AND PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-651-5933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.