INTEGRAL PSYCHOTHERAPY PRACTICE, INC. (NPI# 1265820070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265820070 |
| Entity Type | Organization |
| Organization Name | INTEGRAL PSYCHOTHERAPY PRACTICE, INC. |
| Practice Address |
112 Water St Ste 203 Boston MA 02109-4225 |
| Mailing Address |
Po Box 961186 Boston MA 02196-1186 |
| Practice Telephone | 8572847237 |
| Practice Fax Number | 8572847238 |
| Mailing Telephone | 8572847237 |
| Mailing Fax Number | 8572847238 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | MS. MARIA CAMILLE MELLANO (OWNER, PRESIDENT) |
| Authorized Official Telephone | 8572847237 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
111055 | MA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | INTEGRAL PSYCHOTHERAPY PRACTICE, INC. | 101 Tremont Street, Suite 205 - 209, Boston, MA 02108 |
| Street Address |
112 WATER ST STE 203 |
| City | BOSTON |
| State | MA |
| Zip Code | 02109-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326218397 | Monica E. Zuniga | Counselor | 112 Water St Ste 203, Boston, MA 02109 | 2008-03-06 |
| 1093357170 | Stefanie Alyson Landau | Psychologist | 112 Water St Ste 203, Boston, MA 02109-4225 | 2019-10-10 |
| 1043700396 | Life Balancing Acts | Counselor | 112 Water St Ste 203, Boston, MA 02109-4225 | 2018-05-12 |
| 1780181297 | Groundinghearts, Inc | Counselor | 112 Water St Ste 203, Boston, MA 02109-4225 | 2018-04-11 |
| 1568828580 | Michelle De Sedas | Psychologist | 112 Water St Ste 203, Boston, MA 02109-4225 | 2016-01-06 |
| 1083083554 | Strength, Inc. | Counselor | 112 Water St Ste 203, Boston, MA 02109-4225 | 2015-09-15 |
| 1073946869 | Caitlin O'gallagher Vinter | Social Worker | 112 Water St Ste 203, Boston, MA 02109-4225 | 2013-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167385 | Hidden Gems Counseling LLC | Clinic/Center | 6 Liberty Sq, Pmb 452, Boston, MA 02109 | 2020-09-08 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1568925311 | Robyn Kievit LLC | Dietitian, Registered | 112 Water Street Suite 203, Boston, MA 02109 | 2019-04-09 |
| 1023503786 | Merissa Wright | Behavior Technician | 8 Faneuil Hall Marketplace, 3rd Floor, Boston, MA 02109 | 2018-06-26 |
| 1366961310 | Christine Anna Corallino | Nurse Practitioner | 14 Foster Street, #3, Boston, MA 02109 | 2017-09-11 |
| 1609322858 | Katelyn Patricia Cloutier | Physical Therapist | 4 Water Street, Boston, MA 02109 | 2016-08-28 |
| 1033546700 | Haidang Truong Kelly | Nurse Practitioner | 147 Milk St Fl 3, Boston, MA 02109 | 2013-09-26 |
| 1467701821 | One Medical Group, PC | Internal Medicine | 28 State Street, Suite 2850, Boston, MA 02109 | 2012-08-31 |
| 1124215298 | Martin B Silverstein | Internal Medicine | 53 State Street, Boston Consulting Group Exchange Place, Boston, MA 02109 | 2007-10-02 |
| 1285825562 | Jamie L Davis | Nurse Practitioner | 28 State St. Suite 2860, One Medical Group, Boston, MA 02109 | 2007-08-05 |
| Find all providers in zip 02109 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854635 | Linda Arian | Social Worker | 38 Fairfield St Apt 6, Boston, MA 02116-2537 | 2020-09-03 |
| 1376152306 | Sasha Brown | Social Worker | 21 Tileston St Apt 1, Boston, MA 02113-1965 | 2020-07-27 |
| 1639787898 | Catherine Delano | Social Worker | 20 Cumberland St, Boston, MA 02115-5306 | 2020-07-14 |
| 1093332462 | Lauren Bachman-streitfield | Social Worker | 32 Fruit St Ste 4b, Boston, MA 02114-2620 | 2020-07-01 |
| 1992322606 | Melissa Ann Stadler | Social Worker | 9247 S Hill Rd, Boston, NY 14025-9788 | 2020-06-29 |
| 1942827662 | Kaitlin Silkowitz | Social Worker | 271 Dartmouth St Apt 4i, Boston, MA 02116-2828 | 2020-06-29 |
| 1154942233 | Raiza Alyssa Felicitas | Social Worker | 250 Rutherford Ave, Boston, MA 02129-2925 | 2020-04-30 |
| 1396372561 | Sarah Coburn | Social Worker | 185 Pilgrim Rd # Baker217, Boston, MA 02215-5324 | 2020-03-26 |
| 1235764887 | Stephen Santos | Social Worker | 12 Chesterton St, Boston, MA 02119-2906 | 2020-03-04 |
| 1285265025 | Hui Wang | Social Worker | 185 Pilgrim Rd # Baker218, Boston, MA 02215-5324 | 2020-01-30 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.