Basic Information
Provider Information
NPI: 1477903466
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OKENY
FirstName: BARBARA
MiddleName: ATIM
NamePrefix: MS.
NameSuffix:  
Credential: M.A., LMHC, ATR-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10I ROESSLER RD
Address2:  
City: WOBURN
State: MA
PostalCode: 018016208
CountryCode: US
TelephoneNumber: 7819328114
FaxNumber: 7813053784
Practice Location
Address1: 10I ROESSLER RD
Address2:  
City: WOBURN
State: MA
PostalCode: 018016208
CountryCode: US
TelephoneNumber: 7819328114
FaxNumber: 7813053784
Other Information
ProviderEnumerationDate: 06/21/2016
LastUpdateDate: 08/05/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/05/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X MAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


Home