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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

FORM BEHAVIORAL HEALTH SERVICES PA
NPI 1346157922
Psychiatry & Neurology - Psychiatry in Boston, MA

Active since August 27, 2026
186 LINCOLN ST STE 112, BOSTON, MA 02111(617) 657-2947 Get Directions Write a Review

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Form Behavioral Health Services Pa NPPES

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

FORM BEHAVIORAL HEALTH SERVICES PA (NPI 1346157922) is a healthcare organization registered as a psychiatry in Boston, Massachusetts and active in the NPI registry since August 2026. The organization lists Daniel Montville, President, as its authorized official.

NPPES Registry Identity

NPI1346157922
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameFORM BEHAVIORAL HEALTH SERVICES PA
Location Address186 LINCOLN ST STE 112Boston, MA 02111-2403
Mailing Address186 Lincoln St Ste 112Boston, MA 02111-2403
Phone(617) 657-2947
Organization SubpartNo
Authorized OfficialDaniel MontvillePresident · (617) 657-2947
Enumeration DateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
✔ NPI 1346157922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
186 LINCOLN ST STE 112, Boston, MA 02111
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

FORM PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
186 LINCOLN ST STE 112
BOSTON, MA 02111
Suffolk County (305) 798-8889

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 Form Behavioral Health Services PA's NPI number?

The NPI number for Form Behavioral Health Services PA is 1346157922. It was assigned to this organization in the NPPES registry on August 27, 2026.

Where is Form Behavioral Health Services PA located?

Form Behavioral Health Services PA is located at 186 Lincoln St Ste 112, Boston, MA 02111. The listed phone number is (617) 657-2947.

What is Form Behavioral Health Services PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Form Behavioral Health Services PA was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.