CHRISTINA SUPELANA


Address: 160 Commonwealth Ave Ste U3, Boston, MA 02116-2749
Phone: 6172591895

CHRISTINA SUPELANA (NPI# 1093361529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093361529
Entity Type Individual
Full Name CHRISTINA SUPELANA
Credential PHD
Practice Address 160 Commonwealth Ave Ste U3
Boston
MA 02116-2749
Practice Telephone 6172591895
Enumeration Date 2019-08-12
Last Update Date 2019-11-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
11197 MA Behavioral Health & Social Service Providers

Office Location

Street Address 160 COMMONWEALTH AVE STE U3
City BOSTON
State MA
Zip Code 02116-2749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194158402 Dan Greif Psychologist 160 Commonwealth Ave Ste U3, Boston, MA 02116-2749 2013-08-10
1740849843 Sarah Seligman Rycroft Clinical Neuropsychologist 160 Commonwealth Ave Ste U3, Boston, MA 02116-2749 2019-06-12
1588135610 William Niles Lingard Psychologist 160 Commonwealth Ave Ste U3, Boston, MA 02116-2749 2018-12-16
1891199576 Jessica Rolincik Psychologist 160 Commonwealth Ave Ste U3, Boston, MA 02116-2749 2014-10-09

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NPI Name Taxonomy Address Enumeration
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1982117743 Cassandra Xanthos Social Worker Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 2017-11-14
1255859757 Carolyn Jamie Kussmaul Physician Assistant 216 Beacon Street Apt 1, Boston, MA 02116 2017-09-05
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992314330 Deborah Cohen Psychologist 25 State St Fl 26, Boston, MA 02109-2700 2020-07-30
1710596697 Boston Center for Health Psychology and Biofeedback, LLC Psychologist 10 Post Office Sq., Ste 800 South, Boston, MA 02109 2020-07-27
1619599594 Bozena Forbes Psychologist 7 Clarkson St, Boston, MA 02125-2525 2020-05-13
1376189845 Nicholas Alexander Livingston Psychologist 150 S Huntington Ave Rm B13-79, Boston, MA 02130-4817 2019-11-20
1306495924 Anthony Rosellini Psychologist 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 2019-09-06
1841844693 Darcy Elizabeth Burgers Psychologist 450 Brookline Ave # Jf-736d, Boston, MA 02215-5450 2019-07-30
1780161091 Andrea Knestel Psychologist 224 Clarendon St Ste 51, Boston, MA 02116-3793 2018-07-20
1386121630 Miryam Yusufov Psychologist 375 Longwood Ave # Lw-603, Boston, MA 02215-5395 2018-07-19
1144715798 Benjamin David Goodlett Psychologist 300 Longwood Ave Fegan 4 Genetics, Boston, MA 02115 2018-06-26
1033600887 Lizabeth Roemer Psychologist 100 Morrissey Blvd Dept Of, Boston, MA 02125-3300 2018-05-28
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Competitor

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City BOSTON
Zip Code 02116

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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