Healthcare Provider Details

I. General information

NPI: 1700739851
Provider Name (Legal Business Name): BAKER STREET THERAPY - MASSACHUSETTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 HARRISON AVE STE 782773
BOSTON MA
02111-1929
US

IV. Provider business mailing address

851 FRANKLIN LAKE RD STE 204
FRANKLIN LAKES NJ
07417-2267
US

V. Phone/Fax

Practice location:
  • Phone: 833-927-2724
  • Fax: 201-660-8271
Mailing address:
  • Phone: 201-381-6136
  • Fax: 201-660-8271

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: DR. JOSEPH GALASSO
Title or Position: CEO
Credential: PSYD
Phone: 201-381-6136