DR. KIMBELL ELIZABETH DICERO (NPI# 1598237539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598237539 |
| Entity Type | Individual |
| Full Name | DR. KIMBELL ELIZABETH DICERO |
| Credential | PSYD |
| Practice Address |
1101 Beacon St Brookline MA 02446-5587 |
| Mailing Address |
9 Washington Ave Apt 3 Cambridge MA 02140-2836 |
| Practice Telephone | 8573661975 |
| Mailing Telephone | 6173883213 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12 Guest Street, Boston, MA 02135 | 6172673700 | 6172678142 |
| Street Address |
1101 BEACON ST |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-5587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598751364 | Carl Lopkin | Obstetrics & Gynecology | 1101 Beacon St, Brookline, MA 02446-5587 | 2005-09-27 |
| 1417518127 | Emily Rosen | Psychologist | 1101 Beacon St, Brookline, MA 02446-5587 | 2019-06-24 |
| 1932694551 | William Patrick Cotrone | Physical Therapist | 1101 Beacon St, Brookline, MA 02446-5587 | 2018-06-26 |
| 1558889634 | Kelsey Michelsen | Physical Therapist | 1101 Beacon St, Brookline, MA 02446-5587 | 2017-09-08 |
| 1194262642 | Nelya Christiansen | Physician Assistant | 1101 Beacon St, Suite 1e, Brookline, MA 02446-5587 | 2017-01-23 |
| 1396281267 | Vitreoretinal Consultants Pllc | Ophthalmology | 1101 Beacon St, Suite 3e, Brookline, MA 02446-5587 | 2017-01-16 |
| 1669923801 | Heidi W. Thermenos, Ph.d., LLC | Clinic/Center | 1101 Beacon St, Suite 5 East, Brookline, MA 02446-5587 | 2016-10-24 |
| 1033660972 | Emily Samuels | Dietitian, Registered | 1101 Beacon St, Suite 4w, Brookline, MA 02446-5587 | 2016-10-15 |
| 1336528561 | Dr. Goebel-fabbri, LLC | Psychologist | 1101 Beacon St, Suite 8 West, Brookline, MA 02446-5587 | 2015-05-20 |
| 1548665482 | Delia N. Sang Md | Ophthalmology | 1101 Beacon St, Suite 3e, Brookline, MA 02446-5587 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
| 1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
| 1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
| Find all providers in zip 02446 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952736167 | Kristen Dreyfus | Psychologist | 1269 Beacon St, Brookline, MA 02446-5248 | 2013-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574272 | Jeff Beauvil Jr. | Psychologist | 66l Veterans Ave, Everett, MA 02149-4157 | 2019-12-09 |
| 1457900037 | Terrel Newton | Psychologist | 695 Truman Hwy # 201-202, Boston, MA 02136-3552 | 2019-09-06 |
| 1487171443 | Kristen Lee Jernberg | Psychologist | 18 Anselm Terrace, Brighton, MA 02135 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1720458094 | Jada Evans | Psychologist | 18 Sturtevant Ave, Apt. 1, Norwood, MA 02062 | 2015-09-30 |
| 1093028144 | Denise Yvonne Grace-singleton | Psychologist | 304 Amory St, Jamaica Plain, MA 02130-2310 | 2010-07-19 |
| 1912121674 | David Wilson Mcgill | Psychologist | 4 Wright St, Cambridge, MA 02138-1704 | 2007-04-12 |
| 1740378678 | Jane N Appell | Psychologist | Damonmill Square Suite 3-1a, 9 Pond Lane, Concord, MA 01742-2858 | 2006-10-10 |
| 1710901749 | Tanya B. White | Psychologist | 9 Doran Farm Ln, Lexington, MA 02420-2128 | 2006-07-26 |
| 1851370787 | Robert George Goodman | Psychologist | 83 Franklin St, Watertown, MA 02472-4020 | 2006-01-10 |
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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.