NPI 1124175302 · live from the CMS NPI Registry
Mitchell Raymond Abblett, Ph.D.
Psychologist, Group Psychotherapy in Needham, MA. National Provider Identifier 1124175302, active.
NPI record
| NPI | 1124175302 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Group Psychotherapy 103TP2701X |
| Practice location | 10 Chestnut St, Needham, MA 02492 |
| Practice phone | 781-449-1143 |
| Mailing address | 53 Parker Hill Ave, Roxbury Crossing, MA 02120 |
| Enumerated | January 3, 2007 |
| Last updated | September 11, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Group Psychotherapy | 103TP2701X | 8444 (MA) |
| Psychologist, Clinical | 103TC0700X | 8444 (MA) |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 8444 (MA) |
| Psychologist | 103T00000X | 8444 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.