Provider Demographics
NPI:1003481417
Name:CHOOSE JOY PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:CHOOSE JOY PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CUSHING
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-329-5165
Mailing Address - Street 1:2 PILLOW LACE LN
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-1018
Mailing Address - Country:US
Mailing Address - Phone:413-896-3239
Mailing Address - Fax:
Practice Address - Street 1:65 NEWBURYPORT TPKE
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-1113
Practice Address - Country:US
Practice Address - Phone:617-329-5165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1255580221Medicaid