Provider Demographics
| NPI: | 1467446096 |
|---|---|
| Name: | BEHAVIORAL SOLUTIONS, P.C. |
| Entity Type: | Organization |
| Organization Name: | BEHAVIORAL SOLUTIONS, P.C. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | BRUCE |
| Authorized Official - Middle Name: | ARTHUR |
| Authorized Official - Last Name: | MALOOF |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | PHD, LICSW |
| Authorized Official - Phone: | 781-221-3180 |
| Mailing Address - Street 1: | 55 CAMBRIDGE ST |
| Mailing Address - Street 2: | SUITE 201 |
| Mailing Address - City: | BURLINGTON |
| Mailing Address - State: | MA |
| Mailing Address - Zip Code: | 01803-4615 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 781-221-3180 |
| Mailing Address - Fax: | 781-221-3183 |
| Practice Address - Street 1: | 55 CAMBRIDGE ST |
| Practice Address - Street 2: | SUITE 201 |
| Practice Address - City: | BURLINGTON |
| Practice Address - State: | MA |
| Practice Address - Zip Code: | 01803-4615 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 781-221-3180 |
| Practice Address - Fax: | 781-221-3183 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2005-09-09 |
| Last Update Date: | 2014-01-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
| No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
| No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | Group - Multi-Specialty |
| No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
| No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
| No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
| No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
| No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| MA | BE M20712 | Medicare ID - Type Unspecified |
