Active NPIOrganization

Waltham Behavioral Health LLC

Registered Nurse, Psych/Mental Health, Adult in Waltham, Massachusetts

NPI Number1427453000
Practice location
210 Bear Hill RD, Suite 202, Waltham, MA 02451-1025
Fax
781-915-0755
Last updated
January 6, 2020

Waltham Behavioral Health LLC is a healthcare organization based in Waltham, MA. Waltham Behavioral Health LLC practices in Waltham, MA. The NPI Number for Waltham Behavioral Health LLC is 1427453000 and holds a License No. 7194 (MA). The current practice location address for Waltham Behavioral Health LLC is 210 Bear Hill RD, Suite 202, Waltham, MA 02451-1025 and can be reached out via phone at 781-966-0070 and via fax at 781-915-0755.

Provider Profile Details

NPI Number
1427453000
Provider Name
Waltham Behavioral Health LLC
Provider Entity Type
Organization
Address
210 Bear Hill RD, Suite 202, Waltham, MA 02451-1025
Phone Number
781-966-0070
Fax Number
781-915-0755
Primary Taxonomy
Registered Nurse, Psych/Mental Health, Adult · 163WP0809X
Organization Subpart
No
Authorized Official
Ms. Eleftheria Tsavoussis, PMSCNSBC · Owner · 781-966-0070
Provider Enumeration Date
October 25, 2014
Last Update Date
January 6, 2020
Certification Date
January 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 Bear Hill RD
Suite 202
Waltham, MA 02451-1025
Zip
02451-1025
Phone Number
781-966-0070
Fax Number
781-915-0755
Waltham, MA 02451Get directions →

Provider Business Mailing Address Details

Address
210 Bear Hill Road
Suite 202
Waltham, MA 02451-1025
City
Waltham
State
MA
Zip
02451-1025
Phone Number
781-966-0070
Fax Number
781-915-0755

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
7194
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X
License Number (3)
113314
License State (3)
MA
Taxonomy (3)
Social Worker, Clinical · 1041C0700X
License Number (5)
205807
License State (5)
MA
Taxonomy (5)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (6)
280722
License State (6)
MA
Taxonomy (6)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (7)
175264
License State (7)
MA
Taxonomy (8)
Registered Nurse, Psych/Mental Health, Adult · 163WP0809X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Waltham Behavioral Health LLC?

The NPI number of Waltham Behavioral Health LLC is 1427453000. It was assigned on October 25, 2014 and is currently active in the NPPES registry.

What is the specialty of Waltham Behavioral Health LLC?

Waltham Behavioral Health LLC is registered under the primary taxonomy Registered Nurse, Psych/Mental Health, Adult (code 163WP0809X), licensed in MA under license number 7194.

Where does Waltham Behavioral Health LLC practice?

The practice location is 210 Bear Hill RD, Suite 202, Waltham, MA 02451-1025. The office can be reached at 781-966-0070 (phone) or 781-915-0755 (fax).

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 1427453000 directly on the NPPES registry website.

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