Triad Adolescent Services
Psychologist, Clinical Child & Adolescent in Lexington, Massachusetts
1316368749- Practice location
- 363 Mass Ave, Suite 204, Lexington, MA 02420
- Phone
- 781-864-4814
- Fax
- —
- Last updated
- January 3, 2014
Triad Adolescent Services is a healthcare organization based in Lexington, MA. Triad Adolescent Services practices in Lexington, MA. The NPI Number for Triad Adolescent Services is 1316368749 and holds a License No. 2353 (MA). The current practice location address for Triad Adolescent Services is 363 Mass Ave, Suite 204, Lexington, MA 02420 and can be reached out via phone at 781-864-4814.
Provider Profile Details
- NPI Number
- 1316368749
- Provider Name
- Triad Adolescent Services
- Provider Entity Type
- Organization
- Address
- 363 Mass Ave, Suite 204, Lexington, MA 02420
- Phone Number
- 781-864-4814
- Primary Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- Organization Subpart
- No
- Authorized Official
- Dr. Gillian Carol Galen, PSYD · Clinical Director · 617-290-9432
- Provider Enumeration Date
- January 3, 2014
- Last Update Date
- January 3, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 363 Mass Ave
Suite 204
Lexington, MA 02420 - City
- Lexington
- State
- Massachusetts
- Zip
- 02420
- Phone Number
- 781-864-4814
Provider Business Mailing Address Details
- Address
- 363 Mass Ave
Suite 204
Lexington, MA 02420 - City
- Lexington
- State
- MA
- Zip
- 02420
- Phone Number
- 781-864-4814
License Information
- License Number (1)
- 2353
- License State (1)
- MA
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 9159
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical Child & Adolescent providers near Lexington, MA
View all Psychologist, Clinical Child & Adolescent providers in Lexington →- Dr. David W Randall, PHDPsychologist, Clinical Child & Adolescent · NPI 1003977109
- Dr. Howard Rossman, PHDPsychologist, Clinical Child & Adolescent · NPI 1184647976
- Dr. Kerrie Jongeneelen, PSYDPsychologist, Clinical Child & Adolescent · NPI 1093966624
- Dr. Tracy H Heibeck, PHDPsychologist, Clinical Child & Adolescent · NPI 1720224397
- Margaret M Manning, PHDPsychologist, Clinical Child & Adolescent · NPI 1457686479
- Moselle CampbellPsychologist, Clinical Child & Adolescent · NPI 1588278550
Frequently Asked Questions
What is the NPI number of Triad Adolescent Services?
The NPI number of Triad Adolescent Services is 1316368749. It was assigned on January 3, 2014 and is currently active in the NPPES registry.
What is the specialty of Triad Adolescent Services?
Triad Adolescent Services is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number 2353.
Where does Triad Adolescent Services practice?
The practice location is 363 Mass Ave, Suite 204, Lexington, MA 02420. The office can be reached at 781-864-4814 (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 1316368749 directly on the NPPES registry website.