Advanced Neurotherapy, PC
Psychologist, Cognitive & Behavioral in Wellesley, Massachusetts
1104846476- Practice location
- 140 Bristol RD, Wellesley, MA 02481-2730
- Phone
- 781-444-9115
- Fax
- —
- Last updated
- June 15, 2023
Advanced Neurotherapy, PC is a healthcare organization based in Wellesley, MA. Advanced Neurotherapy, PC practices in Wellesley, MA. The NPI Number for Advanced Neurotherapy, PC is 1104846476 and holds a License No. 3976 (MA). The current practice location address for Advanced Neurotherapy, PC is 140 Bristol RD, Wellesley, MA 02481-2730 and can be reached out via phone at 781-444-9115.
Provider Profile Details
- NPI Number
- 1104846476
- Provider Name
- Advanced Neurotherapy, PC
- Provider Entity Type
- Organization
- Address
- 140 Bristol RD, Wellesley, MA 02481-2730
- Phone Number
- 781-444-9115
- Primary Taxonomy
- Psychologist, Cognitive & Behavioral · 103TB0200X
- Organization Subpart
- No
- Authorized Official
- Dr. Jolene Ross, PHD · Licensed Psychologist/Director · 781-444-9115
- Provider Enumeration Date
- July 20, 2006
- Last Update Date
- June 15, 2023
- Certification Date
- June 15, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 140 Bristol RD
Wellesley, MA 02481-2730 - City
- Wellesley
- State
- Massachusetts
- Zip
- 02481-2730
- Phone Number
- 781-444-9115
Provider Business Mailing Address Details
- Address
- 10436 Park Tree Pl
Glen Allen, VA 23060-4487 - City
- Glen Allen
- State
- VA
- Zip
- 23060-4487
- Phone Number
- 781-444-9115
License Information
- License Number
- 3976
- License State
- MA
- Taxonomy
- Psychologist, Cognitive & Behavioral · 103TB0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Advanced Neurotherapy, PC?
The NPI number of Advanced Neurotherapy, PC is 1104846476. It was assigned on July 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Advanced Neurotherapy, PC?
Advanced Neurotherapy, PC is registered under the primary taxonomy Psychologist, Cognitive & Behavioral (code 103TB0200X), licensed in MA under license number 3976.
Where does Advanced Neurotherapy, PC practice?
The practice location is 140 Bristol RD, Wellesley, MA 02481-2730. The office can be reached at 781-444-9115 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104846476 directly on the NPPES registry website.