Provider Demographics
NPI:1336991231
Name:BOSTON PSYCHIATRY AND WELLNESS LLC
Entity Type:Organization
Organization Name:BOSTON PSYCHIATRY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISSY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-220-2545
Mailing Address - Street 1:275 GROVE STREET
Mailing Address - Street 2:SUITE 2-400
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02466
Mailing Address - Country:US
Mailing Address - Phone:914-220-2545
Mailing Address - Fax:
Practice Address - Street 1:275 GROVE STREET
Practice Address - Street 2:SUITE 2-400
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02466
Practice Address - Country:US
Practice Address - Phone:914-220-2545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty