1. Home
  2. Directory
  3. Massachusetts
  4. Woburn
  5. Community Behavioral Health
  6. NPI Profile

PEYTON RYLEY PROVENCHER
NPI 1245833409
Community/Behavioral Health in Woburn, MA

Active since November 19, 2020
5 CONSTITUTION WAY STE 6, WOBURN, MA 01801(888) 754-0398 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peyton Ryley Provencher NPPES

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

PEYTON RYLEY PROVENCHER (NPI 1245833409) is an individual community/behavioral health provider in Woburn, Massachusetts and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1245833409
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NamePEYTON RYLEY PROVENCHER
Location Address5 CONSTITUTION WAY STE 6Woburn, MA 01801-1199
Mailing Address10 Homer SqSomerville, MA 02143-3003 · (207) 835-9007
Phone(888) 754-0398
Sole ProprietorYes
Enumeration DateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1245833409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5 CONSTITUTION WAY STE 6, Woburn, MA 01801
Open in Google Maps ↗

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 Peyton Provencher's NPI number?

The NPI number for Peyton Provencher is 1245833409. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Where is Peyton Provencher located?

Peyton Provencher practices at 5 Constitution Way Ste 6, Woburn, MA 01801. The listed phone number is (888) 754-0398.

What is Peyton Provencher's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Peyton Provencher was last updated on November 19, 2020. 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.