DOCTHOR P.C.


Address: 75 2nd Ave., Suite 310, Needham, MA 02494
Phone: 7817266698

DOCTHOR P.C. (NPI# 1952708968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952708968
Entity Type Organization
Organization Name DOCTHOR P.C.
Other Organization Name ADHD BOSTON
Practice Address 75 2nd Ave.
Suite 310
Needham
MA 02494
Practice Telephone 7817266698
Practice Fax Number 6173268314
Mailing Telephone 7817266698
Mailing Fax Number 6173268314
Enumeration Date 2014-11-20
Last Update Date 2014-11-20
Authorized Official Name DR. THOR CHRISTIAN BERGERSEN (MEDICAL DIRECTOR)
Authorized Official Telephone 7817266698
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
204123 MA Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
204123 MA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
ADHD Boston Doing Business As Name - Organization

Office Location

Street Address 75 2ND AVE.
SUITE 310
City NEEDHAM
State MA
Zip Code 02494

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134604531 Allison Nicole Lamb Physical Therapist 145 Rosemary St Ste K3, Needham Heights, MA 02494 2018-10-01
1386126324 Judy R Heithmar Social Worker 237 Highland Avenue, Needham, MA 02494 2018-09-06
1215414032 Sarah Moore-ede Registered Nurse 224 Hunnewell St, Needham Heights, MA 02494 2018-07-24
1336638857 Kaitlin Kramer Speech-Language Pathologist 145 Rosemary St. Suite C, Children's Speech and Feeding Therapy, Inc., Needham, MA 02494 2018-05-10
1831687607 Molly Alexandra Cleveland Speech-Language Pathologist Children's Speech and Feeding Therapy Inc., 145 Rosemary St. Suite C, Needham, MA 02494 2018-04-27
1851808364 Sally Barbara Miller Social Worker 50 Cabot Street Suite 206, Plan of Massachusetts and Rhode Island, Needham, MA 02494 2018-01-05
1518406453 Ddmdmd Dental Associates Dentist 32 Wexford St, Needham, MA 02494 2017-02-13
1508312745 Brittany Lee Bernier Social Worker 687 Highland Avenue - 3rd Floor, Needham Heights, MA 02494 2016-08-28
1760839914 Catherine Nasser Counselor 400 Hunnewell St, Suite 6r, Needham, MA 02494 2016-05-18
1104294248 Shirley Huang Speech-Language Pathologist 160 Gould Street, Needham, MA 02494 2015-09-07
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City NEEDHAM
Zip Code 02494

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Dataset Information

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.

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