Healthcare Provider Details

I. General information

NPI: 1154255487
Provider Name (Legal Business Name): SHIFTING PERSPECTIVE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 JAMAICAWAY
BOSTON MA
02130-4343
US

IV. Provider business mailing address

332 JAMAICAWAY
BOSTON MA
02130-4343
US

V. Phone/Fax

Practice location:
  • Phone: 617-942-0241
  • Fax:
Mailing address:
  • Phone: 617-942-0241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DANIELL COHEN BERTAGNOLLI
Title or Position: PSYCHOTHERAPIST/OWNER/FOUNDER
Credential: MA, LMHC
Phone: 617-942-0241