Provider Demographics
NPI:1942061874
Name:BOSTON ANXIETY AND OCD
Entity Type:Organization
Organization Name:BOSTON ANXIETY AND OCD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:HARADHVALA
Authorized Official - Last Name:BAILEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-299-9465
Mailing Address - Street 1:C/O NATASHA BAILEN, 185 CAMBRIDGE ST
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-7271
Mailing Address - Country:US
Mailing Address - Phone:617-299-9465
Mailing Address - Fax:
Practice Address - Street 1:185 CAMBRIDGE ST STE 2000
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2790
Practice Address - Country:US
Practice Address - Phone:617-299-9465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty