Affect Provider Group P.s.c.
Counselor, Mental Health in Boston, Massachusetts
1689554362- Practice location
- 90 Canal St Ste 4, Boston, MA 02114-2022
- Phone
- 845-769-8758
- Fax
- —
- Last updated
- August 20, 2026
Affect Provider Group P.s.c. is a healthcare organization based in Boston, MA. The NPI number for Affect Provider Group P.s.c. is 1689554362. The current practice location address is 90 Canal St Ste 4, Boston, MA 02114-2022 and the office can be reached by phone at 845-769-8758. The NPI was assigned on September 4, 2025 and the record was last updated in NPPES on August 20, 2026.
●Provider Profile Details
- NPI Number
- 1689554362
- Provider Name
- Affect Provider Group P.s.c.
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Karla Renee Mullings · Director Of Compliance · 845-768-8758
- Enumeration Date
- September 4, 2025
- Last Update Date
- August 20, 2026
- Certification Date
- August 20, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 90 Canal St Ste 4
Boston, MA 02114-2022 - City
- Boston
- State
- Massachusetts
- ZIP
- 02114-2022
- Country
- US
- Phone Number
- 845-769-8758
✉Business Mailing Address
- Address
- Po Box 96635
Phoenix, AZ 85072-6635 - City
- Phoenix
- State
- AZ
- ZIP
- 85072-6635
- Phone Number
- 845-760-8758
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health 193200000X - Multi-Specialty Group | 101YM0800X | Yes | — | — |
| Counselor, Professional 193200000X - Multi-Specialty Group | 101YP2500X | No | — | — |
| Social Worker, Clinical 193200000X - Multi-Specialty Group | 1041C0700X | No | — | — |
| Marriage & Family Therapist 193200000X - Multi-Specialty Group | 106H00000X | No | — | — |
| Nurse Practitioner, Psych/Mental Health 193200000X - Multi-Specialty Group | 363LP0808X | No | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Boston →?Frequently Asked Questions
What is the NPI number of Affect Provider Group P.s.c.?
The NPI number of Affect Provider Group P.s.c. is 1689554362. It was assigned on September 4, 2025 and is currently active in the NPPES registry.
What is the specialty of Affect Provider Group P.s.c.?
Affect Provider Group P.s.c. is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Affect Provider Group P.s.c. practice?
The practice location is 90 Canal St Ste 4, Boston, MA 02114-2022. The office can be reached at 845-769-8758 (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 1689554362 directly on the NPPES registry website at npiregistry.cms.hhs.gov.