Provider Demographics
NPI:1851741730
Name:BOSTON BEHAVIORAL HEALTH ASSOCIATES INC
Entity Type:Organization
Organization Name:BOSTON BEHAVIORAL HEALTH ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GURVINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-218-9550
Mailing Address - Street 1:16 WATER ST
Mailing Address - Street 2:UNIT 16
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-3211
Mailing Address - Country:US
Mailing Address - Phone:781-218-9550
Mailing Address - Fax:
Practice Address - Street 1:16 WATER ST
Practice Address - Street 2:UNIT 16
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-3211
Practice Address - Country:US
Practice Address - Phone:781-218-9550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health