Individual provider · Type 1 NPI

Tracy Otubu

Psychiatric/Mental Health Nurse Practitioner · Needham, MA

NPI number 1194516773 Active

Practice location

322 Reservoir St
Needham, MA 02494-3169

Call (877) 920-6583 Map

Mailing address

867 Boylston St Fl 5
Boston, MA 02116-2774

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN2365786 (MA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1194516773

Tracy Otubu's National Provider Identifier is 1194516773, issued on May 14, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Needham, MA. The record was last updated on Jan 13, 2026.