Healthcare Provider Details

I. General information

NPI: 1790391647
Provider Name (Legal Business Name): JOSHUA LIMBERT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2020
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 AMERICAN LEGION HWY
ROSLINDALE MA
02131-3908
US

IV. Provider business mailing address

8 CONRAD RD
FRAMINGHAM MA
01701-4438
US

V. Phone/Fax

Practice location:
  • Phone: 617-469-8500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY10001074
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: