| Boston Psychotherapy, Plc | |
|
128 Merchants Row Ste 201 Rutland VT 05701-5916 | |
| (802) 236-0842 | |
| Not Available |
| Full Name | Boston Psychotherapy, Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 128 Merchants Row Ste 201, Rutland, Vermont |
| Authorized Official Name and Position | Deborah E Boston (MANAGER) |
| Authorized Official Contact | 8026818548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Psychotherapy, Plc 2568 Lincoln Hill Rd Shrewsbury VT 05738-9645 Ph: (802) 681-8548 | Boston Psychotherapy, Plc 128 Merchants Row Ste 201 Rutland VT 05701-5916 Ph: (802) 236-0842 |
| NPI Number | 1790262541 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Medicare PECOS PAC ID | 6305197401 |
|---|---|
| Medicare Enrollment ID | O20181001000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790262541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Deborah E Boston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528339959 PECOS PAC ID: 5890914352 Enrollment ID: I20140915001964 |
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