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ALYSSA DEMOULAS
NPI 1508409012
Counselor - Mental Health in Cambridge, MA

Active since October 28, 2019
3 BOW ST, CAMBRIDGE, MA 02138(617) 547-2255(617) 547-0003 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alyssa Demoulas NPPES

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

ALYSSA DEMOULAS (NPI 1508409012) is an individual mental health provider in Cambridge, Massachusetts, licensed in Massachusetts (11440) and active in the NPI registry since October 2019. She maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1508409012
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALYSSA DEMOULAS
Location Address3 BOW STCambridge, MA 02138-5109
Mailing Address3 Bow StCambridge, MA 02138-5109 · (617) 547-2255 · Fax (617) 547-0003
Phone(617) 547-2255
Fax(617) 547-0003
Sole ProprietorNo
Enumeration DateOctober 28, 2019
✔ NPI 1508409012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 11440
3 BOW ST, Cambridge, MA 02138
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Secondary Practice Location 1

Location 112 Plympton StCambridge, MA 02138-6606 · Phone (617) 547-2255 ext. 61754 · Fax (617) 547-0003

Other Providers at the Same Location NPPES 17

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

MISS JULIE P. DUNNE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3 BOW ST
CAMBRIDGE, MA 02138
Middlesex County (617) 547-2255
CAMBRIDGE EATING DISORDER CENTER
Community Based Residential Treatment Facility, Mental Illness
3 BOW ST
CAMBRIDGE, MA 02138
Middlesex County (617) 547-2255
EMMANUELLE JEAN FARRELL LCSW
Counselor (Mental Health)
3 BOW ST
CAMBRIDGE, MA 02138
Middlesex County (617) 547-2255
EMILY BOUSQUIN SULLOWAY MS, RDN, LDN
Dietitian, Registered
3 BOW ST
CAMBRIDGE, MA 02138
Middlesex County (617) 547-2255
MEGAN GAMERMAN LDN
Nutritionist
3 BOW ST
CAMBRIDGE, MA 02138
Middlesex County (808) 778-6807
ANNE MCCUE PH.D.
Psychologist (Clinical)
3 BOW ST
CAMBRIDGE, MA 02138
Middlesex County (617) 547-2255
CAMBRIDGE EATING DISORDER CENTER
Psychiatric Residential Treatment Facility
3 BOW ST
CAMBRIDGE, MA 02138
Middlesex County (617) 547-2255
DR. ILANA LICHT PH.D.
Psychologist (Clinical)
3 BOW ST
CAMBRIDGE, MA 02138
Middlesex County (161) 754-7225

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 Alyssa Demoulas's NPI number?

The NPI number for Alyssa Demoulas is 1508409012. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Alyssa Demoulas located?

Alyssa Demoulas practices at 3 Bow St, Cambridge, MA 02138. The listed phone number is (617) 547-2255.

What is Alyssa Demoulas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Alyssa Demoulas was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.