Organization
ALLY INTEGRATED HEALTHCARE
Active
Other names
ALLY INTEGRATED HEALTHCARE, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN S. WILKINSON MSN, APRN (PRESIDENT/PMHNP-BC)
(617) 600-4235
Entity
Organization
Contact information
Practice address
305 NEWBURY ST STE 41, BOSTON, MA 02115-2833
(617) 377-7868
(617) 608-5899
Mailing address
305 NEWBURY ST STE 41, BOSTON, MA 02115-2833
(617) 600-4249
(617) 608-5899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174022693
NPI
MA
Enumeration date
02/10/2018
Last updated
03/04/2024
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