ANDREA KNESTEL


Address: 224 Clarendon St Ste 51, Boston, MA 02116-3793
Phone: 6174205258

ANDREA KNESTEL (NPI# 1780161091) 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) 1780161091
Entity Type Individual
Full Name ANDREA KNESTEL
Credential PH.D.
Practice Address 224 Clarendon St Ste 51
Boston
MA 02116-3793
Practice Telephone 6174205258
Mailing Telephone 6174205258
Enumeration Date 2018-07-20
Last Update Date 2019-11-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
11051 MA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
7771439-2501 UT Behavioral Health & Social Service Providers

Office Location

Street Address 224 CLARENDON ST STE 51
City BOSTON
State MA
Zip Code 02116-3793

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871136275 Boston Trauma Therapy, LLC Psychologist 224 Clarendon St Ste 51, Boston, MA 02116-3793 2019-10-18

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Taxonomy Information

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

Taxonomy Definition

Definition to come...

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1841844693 Darcy Elizabeth Burgers Psychologist 450 Brookline Ave # Jf-736d, Boston, MA 02215-5450 2019-07-30
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1033600887 Lizabeth Roemer Psychologist 100 Morrissey Blvd Dept Of, Boston, MA 02125-3300 2018-05-28
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Competitor

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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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