| Boston Behavioral Medicine, Llc | |
|
1371 Beacon St Ste 304 Brookline MA 02446-4905 | |
| (617) 232-2435 | |
| (617) 232-0078 |
| Full Name | Boston Behavioral Medicine, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1371 Beacon St Ste 304, Brookline, Massachusetts |
| Authorized Official Name and Position | Katharine M Larsson (CO-DIRECTOR) |
| Authorized Official Contact | 6172322435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Behavioral Medicine, Llc 1371 Beacon St Ste 304 Brookline MA 02446-4905 Ph: (617) 232-2435 | Boston Behavioral Medicine, Llc 1371 Beacon St Ste 304 Brookline MA 02446-4905 Ph: (617) 232-2435 |
| NPI Number | 1306087457 |
|---|---|
| Provider Enumeration Date | 03/19/2009 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306087457 | NPI | - | NPPES |
| 791373 | Other | MA | TUFTS HEALTH INSURANCE |
| IP574730 | Other | MEGELLAN | |
| 0000PN0601 | Other | BLUE CROSS BLUE SHIELD LEGACY NUMBER | |
| 0000WO6099 | Other | BLUE CROSS BLUE SHIELD LEGACY NUMBER | |
| 1030430 | Other | MA | BEACON HEALTH STRATEGIES |
| 1893165 | Medicaid | MA | |
| LAW51023 | Other | MA | MEDICARE |
| 1093165 | Other | MA | MBHP |
| 1790817732 | Other | MA | NPI |
| 1003850330 | Other | MA | NPI |
| 461385 | Other | MA | TUFTS HEALTH INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7454 (Massachusetts) | Primary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 181401 (Massachusetts) | Secondary |
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