ROBYN KERVICK


Address: 160 Commonwealth Avenue, Suite U3, Boston, MA 02116
Phone: 6172591895

ROBYN KERVICK (NPI# 1417158288) 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) 1417158288
Entity Type Individual
Full Name ROBYN KERVICK
Credential PHD
Practice Address 160 Commonwealth Avenue
Suite U3
Boston
MA 02116
Practice Telephone 6172591895
Practice Fax Number 6172591899
Mailing Telephone 6172591895
Mailing Fax Number 6172591899
Enumeration Date 2007-05-30
Last Update Date 2015-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 8520 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BLUE CROSS PROVIDER # W06450 01

Office Location

Street Address 160 COMMONWEALTH AVENUE
SUITE U3
City BOSTON
State MA
Zip Code 02116

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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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154949873 Erica Rose Appleman Clinical Neuropsychologist 134 Horace St, Boston, MA 02128-1581 2020-07-09
1154870814 Jessica Pan Clinical Neuropsychologist 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 2016-09-22
1033524913 Grant Loren Iverson Clinical Neuropsychologist Home Base Program, 101 Merrimac Street, 2nd Floor, Boston, MA 02114 2014-06-30
1396175410 Daniel R. Seichepine Clinical Neuropsychologist 725 Albany St # 7b, Boston Medical Center, Boston, MA 02118-2526 2013-11-27
1235566647 Todd M Solomon Clinical Neuropsychologist 72 East Concord Street, B-7800, Boston University School of Medicine, Boston, MA 02118 2013-09-30
1598015984 Neuropath LLC Clinical Neuropsychologist 106 Queensberry St, # 18, Boston, MA 02215-4713 2012-09-13
1619236718 Justin Centi Clinical Neuropsychologist 185 Devonshire St Ste 901b, Boston, MA 02110-1407 2012-05-09
1740513886 Aparna Rao Clinical Neuropsychologist 75 Arlington St, Suite 500, Boston, MA 02116-3936 2009-09-08
1386845998 Andrea L Piatt Clinical Neuropsychologist 321 Columbus Ave Ste 3, Boston, MA 02116-5168 2007-05-30
1609907252 Ginette Lafleche Clinical Neuropsychologist 27 Brahms St, Boston, MA 02131-4011 2007-03-07
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City BOSTON
Zip Code 02116

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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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