Provider Demographics
NPI:1669713863
Name:NEUROPSYCH ASSESSMENTS OF GREATER BOSTON
Entity type:Organization
Organization Name:NEUROPSYCH ASSESSMENTS OF GREATER BOSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-564-0246
Mailing Address - Street 1:30 ELLIS RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2917
Mailing Address - Country:US
Mailing Address - Phone:786-877-4560
Mailing Address - Fax:617-527-2694
Practice Address - Street 1:56 WINCHESTER ST
Practice Address - Street 2:SUITE 5
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02461-1709
Practice Address - Country:US
Practice Address - Phone:617-546-0246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9648103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty