Provider Demographics
NPI:1336851096
Name:UBUNTU PSYCHOTHERAPY GROUP
Entity Type:Organization
Organization Name:UBUNTU PSYCHOTHERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEVRY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:781-866-3191
Mailing Address - Street 1:991 PROVIDENCE HWY # 1121
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-5001
Mailing Address - Country:US
Mailing Address - Phone:781-547-7636
Mailing Address - Fax:781-208-9654
Practice Address - Street 1:991 PROVIDENCE HWY # 1121
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5001
Practice Address - Country:US
Practice Address - Phone:781-547-7636
Practice Address - Fax:781-208-9654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty