Active NPIOrganization

Complex Trauma Institute LLC

Psychologist, Clinical in Melrose, Massachusetts

NPI Number1538845037
Practice location
630 Main St, Melrose, MA 02176-3127
Fax
—
Last updated
June 27, 2023

Complex Trauma Institute LLC is a healthcare organization based in Melrose, MA. Complex Trauma Institute LLC practices in Melrose, MA. The NPI Number for Complex Trauma Institute LLC is 1538845037. The current practice location address for Complex Trauma Institute LLC is 630 Main St, Melrose, MA 02176-3127 and can be reached out via phone at 617-548-4123.

Provider Profile Details

NPI Number
1538845037
Provider Name
Complex Trauma Institute LLC
Provider Entity Type
Organization
Address
630 Main St, Melrose, MA 02176-3127
Phone Number
617-548-4123
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Dr. Joseph F Spinazzola, PHD · Managing Director · 617-872-6391
Other Names
Complex Trauma Treatment Center Boston (Doing Business As)
Provider Enumeration Date
June 27, 2023
Last Update Date
June 27, 2023
Certification Date
June 27, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
630 Main St
Melrose, MA 02176-3127
Zip
02176-3127
Phone Number
617-548-4123
Melrose, MA 02176Get directions →

Provider Business Mailing Address Details

Address
41 Pitman Ave
Wakefield, MA 01880-4338
City
Wakefield
State
MA
Zip
01880-4338
Phone Number
617-872-6391

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
Taxonomy (3)
Psychologist, Clinical · 103TC0700X · 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 Complex Trauma Institute LLC?

The NPI number of Complex Trauma Institute LLC is 1538845037. It was assigned on June 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Complex Trauma Institute LLC?

Complex Trauma Institute LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Complex Trauma Institute LLC practice?

The practice location is 630 Main St, Melrose, MA 02176-3127. The office can be reached at 617-548-4123 (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 1538845037 directly on the NPPES registry website.

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