Provider Demographics
NPI:1871618827
Name:MASSACHUSETTS PSYCHOTHERAPY ASSOCIATES
Entity type:Organization
Organization Name:MASSACHUSETTS PSYCHOTHERAPY ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:NADEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-377-7707
Mailing Address - Street 1:33 LYMAN ST
Mailing Address - Street 2:202A
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1404
Mailing Address - Country:US
Mailing Address - Phone:508-366-7707
Mailing Address - Fax:508-366-2013
Practice Address - Street 1:33 LYMAN ST
Practice Address - Street 2:202A
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1404
Practice Address - Country:US
Practice Address - Phone:508-366-7707
Practice Address - Fax:508-366-2013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty