# ALLY INTEGRATED HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ALLY INTEGRATED HEALTHCARE, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174022693
- **Authorized official:** MS. SUSAN S. WILKINSON MSN, APRN (PRESIDENT/PMHNP-BC)
- **Authorized official phone:** (617) 600-4235

## Contact information

- **Practice address:** 305 NEWBURY ST STE 41, BOSTON, MA 02115-2833
- **Practice address phone:** (617) 377-7868
- **Practice address fax:** (617) 608-5899
- **Mailing address:** 305 NEWBURY ST STE 41, BOSTON, MA 02115-2833
- **Mailing address phone:** (617) 600-4249
- **Mailing address fax:** (617) 608-5899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LC1500X | Community Health Nurse Practitioner | — | NULL | — |
| 363LC1500X | Community Health Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | — |
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 02/10/2018
- **Last updated:** 03/04/2024