| LCA CASE NUMBER | I-200-21293-655710 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-20 |
| DECISION DATE | 2021-10-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Fellow |
| SOC CODE | 19-3031.02 |
| SOC TITLE | Clinical Psychologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-25 |
| END DATE | 2022-03-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | General Hospital Corporation |
| TRADE NAME DBA | Massachusetts General Hospital |
| EMPLOYER ADDRESS1 | 55 Fruit Street |
| EMPLOYER CITY | Boston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02114 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16177262000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Palatas |
| EMPLOYER POC FIRST NAME | Noel |
| EMPLOYER POC JOB TITLE | Manager, GPS - Office for Global Professionals and Scholars |
| EMPLOYER POC ADDRESS1 | 399 Revolution Drive |
| EMPLOYER POC ADDRESS2 | Suite 270 |
| EMPLOYER POC CITY | Somerville |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02145 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18572822421 |
| EMPLOYER POC EMAIL | npalatas@partners.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Snyder |
| AGENT ATTORNEY FIRST NAME | Heidi |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 50 Congress Street |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02109 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16175425111 |
| AGENT ATTORNEY EMAIL ADDRESS | hsnyder@rsstlawgroup.com |
|
| LAWFIRM NAME BUSINESS NAME | Ross Silverman Snyder Tietjen LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 55 Fruit Street |
| LCA CASE WORKLOC1 CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02114 |
| LCA CASE WAGE RATE FROM | 56805 |
| LCA CASE WAGE RATE TO | 63045 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 56805 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
