DR. KATHERINE TRACY MUNN (NPI# 1295875011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295875011 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE TRACY MUNN |
| Other Name | DR. K. TRACY MUNN |
| Credential | PH.D. |
| Practice Address |
1 Fitchburg St #c410 Somerville MA 02143-2136 |
| Practice Telephone | 6177641886 |
| Mailing Telephone | 6177641886 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6007 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBSMA PROVIDER ID | W04826 | 01 |
| Street Address |
1 FITCHBURG ST #C410 |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710453162 | Saba Khan | Psychologist | 134 W End Ave Fl 1, Somerville, NJ 08876-1816 | 2018-10-23 |
| 1497131973 | Jaclin Gerstel-friedman | Psychologist | 32 Warren Ave Apt 2, Somerville, MA 02143-3044 | 2015-08-06 |
| 1205124948 | Selda Celen-demirtas | Psychologist | 61 Roseland St Ste 2, Somerville, MA 02143-3536 | 2011-07-15 |
| 1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
| 1487986485 | Marc David Geller | Psychologist | 337 East Main Street, Somerville, NJ 08876-3109 | 2010-02-02 |
| 1487844569 | Susan Hale Zeichner | Psychologist | 68 Josephine Ave, Somerville, MA 02144-2207 | 2007-07-26 |
| 1275754863 | Diya Kallivayalil | Psychologist | Victims of Violence Program, 26 Central Street, Somerville, MA 02143 | 2007-05-01 |
| 1891849345 | Lee Geltman | Psychologist | 240 A Elm St., Journey Women, Somerville, MA 02144 | 2007-01-22 |
| 1831255967 | Timothy John Butler | Psychologist | 15 Eastman Rd, Somerville, MA 02143-1305 | 2007-01-01 |
| 1407913551 | Steven Edward Weitz | Psychologist | 25 N Doughty Ave, Somerville, NJ 08876-1811 | 2007-01-01 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
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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.