OrganizationActive
Bold Psych, LLC
NPI 1164007340 · Clinical Psychologist · Cambridge, MA
Bold Psych, LLC is a Clinical Psychologist organization in Cambridge, MA (NPI 1164007340).
Provider details
- NPI number
- 1164007340
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christina Supelana, Owner(781) 417-3323
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
186 Alewife Brook Pkwy # 1080
Cambridge, MA 02138-1121
Phone: (781) 417-3323
Street-level locationGet directions
Mailing address
186 Alewife Brook Pkwy # 1080
Cambridge, MA 02138-1121
Registry dates
- Enumerated
- 2021-03-10
- Last updated
- 2021-03-10
- Certified
- 2021-03-09
Frequently asked questions
- What is Bold Psych, LLC's NPI number?
- Bold Psych, LLC's National Provider Identifier (NPI) is 1164007340, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bold Psych, LLC?
- Bold Psych, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Bold Psych, LLC located?
- Bold Psych, LLC's practice location on file with NPPES is 186 Alewife Brook Pkwy # 1080, Cambridge, MA 02138-1121.
- What is Bold Psych, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bold Psych, LLC is (781) 417-3323.
- Who is the authorized official for Bold Psych, LLC?
- The authorized official listed on Bold Psych, LLC's NPPES record is Christina Supelana, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bold Psych, LLC's NPI active?
- Yes — Bold Psych, LLC's NPI (1164007340) is active in the NPPES registry as of the last update on 2021-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.