ROBYN KERVICK (NPI# 1417158288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 8520 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BLUE CROSS PROVIDER # | W06450 | 01 |
Street Address |
160 COMMONWEALTH AVENUE SUITE U3 |
City | BOSTON |
State | MA |
Zip Code | 02116 |
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 | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
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.