institution
Boston Behavioral Medicine, Llc
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Brookline, Massachusetts
NPI 1306087457

Boston Behavioral Medicine, Llc is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in Brookline, MA and is specialized in Psychiatric/Mental Health, Adult. Boston Behavioral Medicine, Llc practices in Brookline, MA. The NPI Number for Boston Behavioral Medicine, Llc is 1306087457 and holds a License No. 7454 (Massachusetts).

The current practice location address for Boston Behavioral Medicine, Llc is 1371 Beacon St Ste 304, Brookline, MA and can be reached out via phone at 617-232-2435 and via fax at 617-232-0078. You can also correspond with Boston Behavioral Medicine, Llc through the mailing address at 1371 BEACON ST STE 304, BROOKLINE, MA - 02446-4905 (mailing address contact number: 617-232-2435).

Location: 1371 Beacon St Ste 304, Brookline, MA, 02446-4905
institution
Provider Profile Details
NPI Number
1306087457
Provider Name
Boston Behavioral Medicine, Llc
Credential
Provider Entity Type
Organization
Address
1371 Beacon St Ste 304, Brookline, MA, 02446-4905
Phone Number
617-232-2435
Fax Number
617-232-0078
Provider Enumeration Date
03/19/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
791373 01 MA TUFTS HEALTH INSURANCE
IP574730 01 MEGELLAN
0000PN0601 01 BLUE CROSS BLUE SHIELD LEGACY NUMBER
0000WO6099 01 BLUE CROSS BLUE SHIELD LEGACY NUMBER
1030430 01 MA BEACON HEALTH STRATEGIES
1893165 05 MA
LAW51023 01 MA MEDICARE
1093165 01 MA MBHP
1790817732 01 MA NPI
1003850330 01 MA NPI
461385 01 MA TUFTS HEALTH INSURANCE
institution
Provider Business Practice Location Address Details
Address
1371 Beacon St Ste 304
City
State
Zip
02446-4905
Phone Number
617-232-2435
Fax Number
617-232-0078
person
Provider Business Mailing Address Details
Address
1371 Beacon St Ste 304
City
State
Zip
02446-4905
Phone Number
617-232-2435
Fax Number
617-232-0078
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
181401 (Massachusetts)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
7454 (Massachusetts)
Definition
Definition to come...
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