1659857803 NPI number — ALEXANDER RICHARD VLAVIANOS LMHC

Table of content: ALEXANDER RICHARD VLAVIANOS LMHC (NPI 1659857803)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659857803 NPI number — ALEXANDER RICHARD VLAVIANOS LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VLAVIANOS
Provider First Name:
ALEXANDER
Provider Middle Name:
RICHARD
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMHC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VLAVIANOS
Provider Other First Name:
ALEX
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMHC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1659857803
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/21/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 FENWAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02115-5798
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-735-9920
Provider Business Mailing Address Fax Number:
617-735-9919

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 FENWAY
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:
02115-5798
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-735-9920
Provider Business Practice Location Address Fax Number:
617-735-9919
Provider Enumeration Date:
07/11/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LMHC10004432 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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