ADVANCED NEUROTHERAPY, PC
NPI 1104846476
Psychologist - Cognitive & Behavioral in Wellesley, MA

Active since July 20, 2006
140 BRISTOL RD, WELLESLEY, MA 02481(781) 444-9115 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Neurotherapy, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED NEUROTHERAPY, PC (NPI 1104846476) is a healthcare organization registered as a cognitive & behavioral in Wellesley, Massachusetts and active in the NPI registry since July 2006. The organization lists Jolene Ross, Licensed Psychologist/director, as its authorized official.

NPPES Registry Identity

NPI1104846476
Entity TypeOrganization
Primary Taxonomy103TB0200X
Legal Business NameADVANCED NEUROTHERAPY, PC
Location Address140 BRISTOL RDWellesley, MA 02481-2730
Mailing Address10436 Park Tree PlGlen Allen, VA 23060-4487 · (781) 444-9115
Organization SubpartNo
Authorized OfficialJolene RossLicensed Psychologist/director · (781) 444-9115
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
NPI 1104846476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License Licensed in MA · 3976
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
140 BRISTOL RD, Wellesley, MA 02481

Other Identifiers 3

Other722869MA · Tufts Commercial
OtherW03950MA · Bcbs Provider #
OtherW03950MA · National Heritage

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Cognitive & Behavioral)
140 BRISTOL RD
WELLESLEY, MA 02481

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Neurotherapy, PC's NPI number?

The NPI number for Advanced Neurotherapy, PC is 1104846476. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Advanced Neurotherapy, PC located?

Advanced Neurotherapy, PC is located at 140 Bristol Rd, Wellesley, MA 02481. The listed phone number is (781) 444-9115.

What is Advanced Neurotherapy, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Advanced Neurotherapy, PC was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.