Healthcare Provider Details
I. General information
NPI: 1235033085
Provider Name (Legal Business Name): JEFF ADAMS PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
763 MASSACHUSETTS AVE STE 7
CAMBRIDGE MA
02139-3329
US
IV. Provider business mailing address
82 WENDELL AVE STE 100
PITTSFIELD MA
01201-7066
US
V. Phone/Fax
- Phone: 617-823-5364
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
JEFFREY
SAMUEL
ADAMS
Title or Position: OWNER
Credential: LMHC
Phone: 617-823-5364