Healthcare Provider Details

I. General information

NPI: 1528905452
Provider Name (Legal Business Name): ELIZABETH MCCAULEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 N. WASHINGTON ST. B#5
BOSTON MA
02114
US

IV. Provider business mailing address

98 N WASHINGTON ST # 5
BOSTON MA
02114-1918
US

V. Phone/Fax

Practice location:
  • Phone: 617-546-8300
  • Fax: 617-546-8300
Mailing address:
  • Phone: 617-475-0008
  • Fax: 617-546-8311

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:
Title or Position:
Credential:
Phone: