Provider Demographics
NPI:1881897593
Name:INSIGHT THERAPIES INC.
Entity type:Organization
Organization Name:INSIGHT THERAPIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-692-2100
Mailing Address - Street 1:23 BAYBERRY RD
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-2407
Mailing Address - Country:US
Mailing Address - Phone:978-692-2100
Mailing Address - Fax:978-692-2189
Practice Address - Street 1:23 BAYBERRY RD
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-2407
Practice Address - Country:US
Practice Address - Phone:978-692-2100
Practice Address - Fax:978-692-2189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1032177106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP23180Medicare ID - Type Unspecified