Healthcare Provider Details

I. General information

NPI: 1609752211
Provider Name (Legal Business Name): ATREEF THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 LANDSDOWNE ST APT 1810
CAMBRIDGE MA
02139-4247
US

IV. Provider business mailing address

68 HARRISON AVE STE 605 PMB 866561
BOSTON MA
02111
US

V. Phone/Fax

Practice location:
  • Phone: 617-906-6767
  • Fax: 617-693-6040
Mailing address:
  • Phone: 617-906-6767
  • Fax: 617-693-6040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: DR. EHSAN ADIB SHABAHANG
Title or Position: OWNER AND THERAPIST
Credential: PHD, NCC, LMHC
Phone: 617-906-6767