Advanced Neurotherapy, PC
Advanced Neurotherapy, PC is a healthcare organization registered as Cognitive & Behavioral Psychologist in Wellesley, MA, holding Type 2 (organization) NPI 1104846476 since 2006. The authorized official on file is Jolene Ross, Licensed Psychologist/Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104846476 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Advanced Neurotherapy, PC |
| Practice address | 140 BRISTOL RD, Wellesley, MA, 02481 |
| Phone | 7814449115 |
| Enumeration date | 2006-07-20 |
| Last updated in NPPES | 2023-06-15 |
Authorized official
| Name | Jolene Ross |
|---|---|
| Title | Licensed Psychologist/Director |
| Phone | 7814449115 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TB0200X | Cognitive & Behavioral Psychologist | Primary | 3976 | MA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 722869 | Other | MA | TUFTS COMMERCIAL |
| W03950 | Other | MA | BCBS PROVIDER # |
| W03950 | Other | MA | NATIONAL HERITAGE |
Copy-ready billing details
Provider: Advanced Neurotherapy, PC NPI: 1104846476 Taxonomy: 103TB0200X (Cognitive & Behavioral Psychologist) Address: 140 BRISTOL RD, Wellesley, MA, 02481
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477605236 | Jolene Ross | Individual | Cognitive & Behavioral Psychologist | Wellesley, MA |
Verify this record
Cross-check NPI 1104846476 against the authoritative CMS record: view Advanced Neurotherapy, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Advanced Neurotherapy, PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-06-15.