CHRISTINE L. CIVILETTO (NPI# 1740779495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740779495 |
| Entity Type | Individual |
| Full Name | CHRISTINE L. CIVILETTO |
| Credential | PHD |
| Practice Address |
135 Forsyth Building 360 Huntington Avenue Boston MA 02115 |
| Practice Telephone | 6173734139 |
| Mailing Telephone | 6173734139 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
8884 | MA | Behavioral Health & Social Service Providers |
| Street Address |
135 FORSYTH BUILDING 360 HUNTINGTON AVENUE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235639279 | Sarah Choffnes | Social Worker | 135 Forsyth Building, 360 Huntington Avenue Northeastern University, Boston, MA 02115 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817489 | Trevor Allan Cote | Psychologist | 137 Newbury St # 6b, Boston, MA 02116-2912 | 2020-10-08 |
| 1467945022 | Carmen M Torres | Psychologist | 21 Fenwood Rd Apt 2, Boston, MA 02115-6101 | 2018-06-08 |
| 1770073058 | Stephanie Matos-tabashneck | Psychologist | 240 Heath St Apt 102, Boston, MA 02130-1141 | 2018-05-13 |
| 1710491923 | Saman Berenji | Psychologist | 15 Priscilla Rd, Unit 3, Boston, VA 02135-2019 | 2017-11-27 |
| 1548661994 | Luana Bessa | Psychologist | 101 Arch St Fl 8, Boston, MA 02110-7500 | 2014-09-04 |
| 1497007389 | Allison Bridget Karthaus | Psychologist | 112 Water St Ste 400, Boston, MA 02109-4211 | 2012-10-03 |
| 1972859148 | Ruben Hopwood | Psychologist | 185 Baystate Rd, The Danielsen Institute, Boston, MA 02215-1584 | 2012-07-25 |
| 1144497124 | Generation Excel Youth Program | Psychologist | 215 Forest Hills St, Boston, MA 02130-3302 | 2008-05-09 |
| 1770608960 | Wilma J. Busse | Psychologist | 73 Tremont St Fl 5, Boston, MA 02108-3916 | 2007-03-20 |
| 1255357844 | Gerald G Wyrwas | Psychologist | 88 Tremont St, Boston, MA 02108-4101 | 2006-07-15 |
| 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.