Healthcare Provider Details
I. General information
NPI: 1356318125
Provider Name (Legal Business Name): THE MAY INSTITUTE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2006
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
41 PACELLA PARK DR
RANDOLPH MA
02368-1755
US
IV. Provider business mailing address
41 PACELLA PARK DR
RANDOLPH MA
02368-1755
US
V. Phone/Fax
- Phone: 781-437-1215
- Fax: 781-437-1220
- Phone: 781-437-1256
- Fax: 781-394-5387
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
LORI
A
TRITTO
Title or Position: BILLING MANAGER
Credential:
Phone: 781-437-1323