MS. NANCY RUTH CETLIN (NPI# 1235104050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235104050 |
| Entity Type | Individual |
| Full Name | MS. NANCY RUTH CETLIN |
| Other Name | MRS. NANCY CETLIN WILTON |
| Credential | EDD |
| Practice Address |
264 Beacon St Fourth Floor Boston MA 02116 |
| Mailing Address |
141 Brooks St Unit 1 Brighton MA 02135 |
| Practice Telephone | 6172675433 |
| Practice Fax Number | 6177826764 |
| Mailing Telephone | 6172540284 |
| Mailing Fax Number | 6177826764 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6301002901 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3514 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TUFTS HEALTH PLAN | 739159 | 01 | |
| VAL/H | A002908 | 01 | |
| EMPIRE BCBS | VD6841 | 01 | |
| MA | BLUE CROSS | W03627 | 01 |
| MANAGED HEALTH NETWORK | 0001020601 | 01 | |
| AETNA | 0012255000 | 01 | |
| VALUE/OPTIONS | 6883946 | 01 | |
| VALUE | A002908 | 01 |
| Street Address |
264 BEACON ST FOURTH FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740268473 | Janet Melissa Witte | Psychiatry & Neurology | 264 Beacon St, Fl. 1, Boston, MA 02116-1236 | 2006-01-03 |
| 1134664394 | Wellness Therapist, LLC | Social Worker | 264 Beacon St, Boston, MA 02116-1236 | 2016-12-27 |
| 1760650121 | Irit Feldman | Counselor | 264 Beacon St, 3rd Floor, Boston, MA 02116-1236 | 2008-02-19 |
| 1598981011 | Janet Albers English | Psychologist | 264 Beacon St, Fifth Floor, Boston, MA 02116-1236 | 2007-04-17 |
| 1225252133 | Stuart Nathan Simon | Social Worker | 264 Beacon St, 5th Floor, Boston, MA 02116-1236 | 2007-04-12 |
| 1750419776 | Padma Ali | Marriage & Family Therapist | 264 Beacon St, Suite 3ff, Boston, MA 02116-1236 | 2007-03-01 |
| 1194851238 | Karen B. Levin | Psychologist | 264 Beacon St, Floor 5, Boston, MA 02116-1236 | 2007-02-25 |
| 1285778548 | Geoffry William Mcenany | Registered Nurse | 264 Beacon St, Suite 601, Boston, MA 02116-1236 | 2007-02-19 |
| 1578619136 | Dana L. Ingersoll | Marriage & Family Therapist | 264 Beacon St, 3rd Floor, Boston, MA 02116-1236 | 2007-01-26 |
| 1356493662 | Irina Aguirre | Counselor | 264 Beacon St, 5th Floor, Boston, MA 02116-1236 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 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 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| 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 |
| Find all providers in BOSTON | ||||
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| 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.