Meridian Psychotherapy Associates of Massachusetts LLC
NPI 1619602000 · Clinical Social Worker · Boston, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1619602000
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Parent organization
- Meridian Health Group LLC
- Organization subpart
- Yes
- Authorized official
- Penny Tavar, Managing Director(617) 872-3612
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Meridian Psychotherapy Associates LLC
Additional practice locations (1)
- 101 Broad St Unit 5cBoston, MA 02110-3420Phone: (617) 872-3612
Registry dates
- Enumerated
- 2022-07-19
- Last updated
- 2023-04-05
- Certified
- 2023-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.