Organization · Type 2 NPI
Foundations Psychiatric Care LLC
Psychiatric/Mental Health Nurse Practitioner · Boston, MA
NPI number
1104745561
Active
Practice location
56 Broad St Ste 42508
Boston, MA 02109-4301
Fax (800) 819-6196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104745561
Foundations Psychiatric Care LLC's National Provider Identifier is 1104745561, issued on Jul 10, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boston, MA. The record was last updated on Oct 12, 2026.