1. Home
  2. Directory
  3. Massachusetts
  4. Medford
  5. Clinic Center
  6. NPI Profile

ELM PSYCHOTHERAPY LLC
NPI 1679199012
Clinic/Center - Mental Health (Including Community Mental Health Center) in Medford, MA

Active since June 22, 2020
0 GOVERNORS AVE STE 24, MEDFORD, MA 02155(781) 862-4171 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 31, 2023, Jun 22, 2020 (2 updates tracked since 2020).

About Elm Psychotherapy Llc NPPES

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

ELM PSYCHOTHERAPY LLC (NPI 1679199012) is a healthcare organization registered as a mental health (including community mental health center) in Medford, Massachusetts and active in the NPI registry since June 2020. The organization lists Emily Stewart Macomber, Owner, as its authorized official.

NPPES Registry Identity

NPI1679199012
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameELM PSYCHOTHERAPY LLC
Location Address0 GOVERNORS AVE STE 24Medford, MA 02155-3097
Mailing Address0 Governors Ave Ste 24Medford, MA 02155-3097
Phone(781) 862-4171
Organization SubpartNo
Authorized OfficialEmily Stewart MacomberOwner · (781) 862-4171
Enumeration DateJune 22, 2020
Last NPPES UpdateMay 31, 20232 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
✔ NPI 1679199012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
0 GOVERNORS AVE STE 24, Medford, MA 02155
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

REVIVE PSYCHIATRY & WELLNESS, PLLC
Psychiatry & Neurology (Psychiatry)
0 GOVERNORS AVE STE 24
MEDFORD, MA 02155
Middlesex County (617) 294-9094
RHIANNA CANDIDO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
0 GOVERNORS AVE STE 24
MEDFORD, MA 02155
Middlesex County (617) 294-9094

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 Elm Psychotherapy LLC's NPI number?

The NPI number for Elm Psychotherapy LLC is 1679199012. It was assigned to this organization in the NPPES registry on June 22, 2020.

Where is Elm Psychotherapy LLC located?

Elm Psychotherapy LLC is located at 0 Governors Ave Ste 24, Medford, MA 02155. The listed phone number is (781) 862-4171.

What is Elm Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Elm Psychotherapy LLC was last updated on May 31, 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.