Healthcare Provider Details

I. General information

NPI: 1821935362
Provider Name (Legal Business Name): STARBOARD INTEGRATIVE PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

867 BOYLSTON ST FL 5
BOSTON MA
02116-2774
US

IV. Provider business mailing address

20 CULLEN AVE
LEOMINSTER MA
01453-6809
US

V. Phone/Fax

Practice location:
  • Phone: 617-465-3750
  • Fax: 617-546-4291
Mailing address:
  • Phone: 617-465-3750
  • Fax: 617-546-4291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JOY O'BRIEN
Title or Position: PMHNP-BC/OWNER
Credential: NP
Phone: 617-465-3750