DR. NICHOLAS ALEXANDER LIVINGSTON


Address: 150 S Huntington Ave Rm B13-79, Boston, MA 02130-4817
Phone: 8573646612

DR. NICHOLAS ALEXANDER LIVINGSTON (NPI# 1376189845) 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) 1376189845
Entity Type Individual
Full Name DR. NICHOLAS ALEXANDER LIVINGSTON
Credential PH.D.
Practice Address 150 S Huntington Ave Rm B13-79
Boston
MA 02130-4817
Practice Telephone 8573646612
Mailing Telephone 8573646612
Enumeration Date 2019-11-20
Last Update Date 2019-11-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS01799 RI Behavioral Health & Social Service Providers

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Office Location

Street Address 150 S HUNTINGTON AVE RM B13-79
City BOSTON
State MA
Zip Code 02130-4817

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Taxonomy Information

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

Taxonomy Definition

Definition to come...

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Competitor

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City BOSTON
Zip Code 02130

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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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