Healthcare Provider Details

I. General information

NPI: 1174499925
Provider Name (Legal Business Name): BAKER STREET MASSACHUSETTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 FRANKLIN LAKE RD STE 204
FRANKLIN LAKES NJ
07417-2267
US

IV. Provider business mailing address

851 FRANKLIN LAKE RD STE 204
FRANKLIN LAKES NJ
07417-2267
US

V. Phone/Fax

Practice location:
  • Phone: 833-937-2724
  • Fax: 201-660-8271
Mailing address:
  • Phone: 833-937-2724
  • Fax: 201-660-8271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH GALASSO
Title or Position: CEO
Credential: PSYD
Phone: 833-937-2724