1386531887 NPI number — SILVER LINING INTEGRATIVE PSYCHIATRY, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386531887 NPI number — SILVER LINING INTEGRATIVE PSYCHIATRY, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SILVER LINING INTEGRATIVE PSYCHIATRY, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386531887
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/18/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12 GEORGE M LOVERING CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RANDOLPH
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02368-1462
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-286-6527
Provider Business Mailing Address Fax Number:
857-416-2692

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7 WHITTIER PL STE 108
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02114-1408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-286-6527
Provider Business Practice Location Address Fax Number:
857-416-2692
Provider Enumeration Date:
06/18/2025

Additional Information

Authorized Official

Authorized Official Last Name:
CAMBRA
Authorized Official First Name:
ALLYSA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
617-286-6527

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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