DR. KATHERINE L E CRAIGEN


Address: 69 Hickory Dr Ste 2000, Waltham, MA 02451-1011
Phone: 7812692823

DR. KATHERINE L E CRAIGEN (NPI# 1750779005) 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) 1750779005
Entity Type Individual
Full Name DR. KATHERINE L E CRAIGEN
Credential PH.D.
Practice Address 69 Hickory Dr Ste 2000
Waltham
MA 02451-1011
Mailing Address 11 Rockdale Hill Cir
Upton
MA 01568-1722
Practice Telephone 7812692823
Mailing Telephone 6037383722
Enumeration Date 2015-01-08
Last Update Date 2020-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
003865 CT Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
10151 MA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
020950 NY Behavioral Health & Social Service Providers

Office Location

Street Address 69 HICKORY DR STE 2000
City WALTHAM
State MA
Zip Code 02451-1011

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NPI Name Taxonomy Address Enumeration
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1245715879 Annie F Friedman Social Worker Extended Stay America, 32 4the Avenue, Waltham, MA 02451 2018-09-28
1760964118 Elizabeth Boardman Harris Social Worker 60 Hickory Drive 4th Floor, Waltham, MA 02451 2018-09-02
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1962998013 Leighann Teresa Healy Behavior Technician 303 Wyman Suite 300, Waltham, MA 02451 2018-07-02
1194234492 Bruna Rossi Hoffman Dentist 12 Grant Place, Apt 1, Waltham, MA 02451 2017-09-29
1265959159 Matthew C Page-shelton Counselor 2208 Stearns Hill Road, Waltham, MA 02451 2017-08-23
1306380837 Sherri Lynn Duquette Behavior Technician 1430 Main Street, Waltham, MA 02451 2016-12-19
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Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558850479 Laurie Horowitz Humbert Psychologist 60 Clements Rd, Waltham, MA 02453-8208 2018-05-07
1467978569 Rachel Margaret Kantor Psychologist 860 Winter St, Waltham, MA 02451-1449 2017-08-21
1972903250 Emily Brooke Hotz Psychologist 40 Crescent St Ste 201, Waltham, MA 02453-4313 2014-08-24
1770992059 Hope Elisabeth Forbes Psychologist 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 2014-08-12
1992015275 Julia Fomicheva Psychologist 411 Waverley Oaks Rd., #104, Waltham, MA 02452-8449 2010-10-20
1477792679 Ronald Howard Evans Psychologist 415 South St., Brandeis University, Psychological Counseling, Mailman, Waltham, MA 02454-9110 2009-02-11
1871768762 Vicky Lyn Anderson Psychologist 45 South Street Mailmun House, Brandeis University Psychological Counseling Center, Waltham, MA 02453 2008-04-23
1902023591 Jane L. Forsyth Psychologist 30 Curve Street, Waltham, MA 02451 2007-04-18
1982752168 Aurelie Jones Goodwin Psychologist 159 Virginia Rd, Waltham, MA 02453-7615 2007-01-06
1154499424 Norah K Hass Psychologist 77 Rumford Ave, Children's Charter, Waltham, MA 02453-3872 2006-12-02
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Competitor

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City WALTHAM
Zip Code 02451

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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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