Provider Demographics
NPI:1184313397
Name:METRO BOSTON MENTAL HEALTH, PLLC
Entity type:Organization
Organization Name:METRO BOSTON MENTAL HEALTH, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT COMPANY
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:V
Authorized Official - Last Name:FALZONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-910-9190
Mailing Address - Street 1:76 HAMMERSMITH DR
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-4404
Mailing Address - Country:US
Mailing Address - Phone:781-910-9190
Mailing Address - Fax:
Practice Address - Street 1:109 OAK ST STE 201
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02464-1493
Practice Address - Country:US
Practice Address - Phone:781-910-9190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty