<Unavail>

LBN: 824 Boylston Street, Inc.
<Unavail> is an health care organization with primary practice located at 824 Boylston St , Chestnut Hill MA 02467-2508. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. 824 Boylston Street, Inc. can be contacted via phone (617) 991-0102, or through Benson, Herbert via phone (617) 991-0102.

Contact Information

Primary practice address
824 Boylston St Chestnut Hill MA 02467-2508
Phone: (617) 991-0102
Fax: (617) 991-0112
Website:
Map and Directions
Authorized official contact:
Name: Benson, Herbert Doctor of Medicine (MD)
Phone: (617) 991-0102

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1518995018
LBN Legal business name 824 Boylston Street, Inc.
DBA Doing business as <Unavail>
Authorized official Benson, Herbert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
Last updated Sep 11th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518995018 NPPES
Massachusetts MEDICAID 9726501

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