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BOLD PSYCH, LLC
NPI 1164007340
Psychologist - Clinical in Cambridge, MA

Active since March 10, 2021
186 ALEWIFE BROOK PKWY # 1080, CAMBRIDGE, MA 02138(781) 417-3323 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bold Psych, Llc NPPES

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

BOLD PSYCH, LLC (NPI 1164007340) is a healthcare organization registered as a clinical in Cambridge, Massachusetts and active in the NPI registry since March 2021. The organization lists Christina Supelana, Owner, as its authorized official.

NPPES Registry Identity

NPI1164007340
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBOLD PSYCH, LLC
Location Address186 ALEWIFE BROOK PKWY # 1080Cambridge, MA 02138-1121
Mailing Address186 Alewife Brook Pkwy # 1080Cambridge, MA 02138-1121
Phone(781) 417-3323
Organization SubpartNo
Authorized OfficialChristina SupelanaOwner · (781) 417-3323
Enumeration DateMarch 10, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1164007340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
186 ALEWIFE BROOK PKWY # 1080, Cambridge, MA 02138
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Bold Psych, LLC's NPI number?

The NPI number for Bold Psych, LLC is 1164007340. It was assigned to this organization in the NPPES registry on March 10, 2021.

Where is Bold Psych, LLC located?

Bold Psych, LLC is located at 186 Alewife Brook Pkwy # 1080, Cambridge, MA 02138. The listed phone number is (781) 417-3323.

What is Bold Psych, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Bold Psych, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Bold Psych, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bold Psych, LLC was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.