| Boston Neuropsychological Services, Llc | |
|
687 Highland Avenue 2nd Floor Needham MA 02494 | |
| (781) 559-8444 | |
| (781) 559-8117 |
| Full Name | Boston Neuropsychological Services, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 687 Highland Avenue, Needham, Massachusetts |
| Authorized Official Name and Position | Kevin A Domingos (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7815598444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Neuropsychological Services, Llc 687 Highland Avenue 2nd Floor Needham MA 02494-2409 Ph: (781) 559-8444 | Boston Neuropsychological Services, Llc 687 Highland Avenue 2nd Floor Needham MA 02494 Ph: (781) 559-8444 |
| NPI Number | 1407048432 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 05/29/2019 |
| Medicare PECOS PAC ID | 2668538794 |
|---|---|
| Medicare Enrollment ID | O20090304000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407048432 | NPI | - | NPPES |
| W10647 | Other | MA | BLUE CROSS/BLUE SHIELD |
| Provider Name | Matthew Jerram |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871549980 PECOS PAC ID: 5890710115 Enrollment ID: I20051005001301 |
| Provider Name | Robyn B Kervick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417158288 PECOS PAC ID: 9436171295 Enrollment ID: I20051221000615 |
| Provider Name | Karen J Seligsohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104977347 PECOS PAC ID: 6709968621 Enrollment ID: I20080131000296 |
| Provider Name | Kevin A Domingos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770662173 PECOS PAC ID: 6608931571 Enrollment ID: I20090210000661 |
| Provider Name | Michael A Fearing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265673933 PECOS PAC ID: 8224188321 Enrollment ID: I20090611000300 |
| Provider Name | Susan Brefach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346200193 PECOS PAC ID: 3870647001 Enrollment ID: I20090821000352 |
| Provider Name | Jeffery S Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548591233 PECOS PAC ID: 4587709357 Enrollment ID: I20100304000208 |
| Provider Name | Mark H Keeler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063579183 PECOS PAC ID: 5092907097 Enrollment ID: I20101008000779 |
| Provider Name | Kaitlyn A Switalski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760925390 PECOS PAC ID: 3476827536 Enrollment ID: I20170928000635 |
| Provider Name | Christina D Kay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366823072 PECOS PAC ID: 9739437567 Enrollment ID: I20180809005303 |
| Provider Name | Haley Duncanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114357407 PECOS PAC ID: 0547519902 Enrollment ID: I20180817000660 |
| Provider Name | Rachel N Song |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255878575 PECOS PAC ID: 4688959448 Enrollment ID: I20180921000991 |
| Provider Name | Kaycee Reese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861627424 PECOS PAC ID: 1254662232 Enrollment ID: I20191004001353 |
| Provider Name | Matthew E Fasano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720634587 PECOS PAC ID: 7911339551 Enrollment ID: I20191119002914 |
| Provider Name | Amy T Peters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699261941 PECOS PAC ID: 1557789567 Enrollment ID: I20200908001672 |
| Provider Name | Krizia A Vinck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093338451 PECOS PAC ID: 3173942935 Enrollment ID: I20200928001401 |
| Provider Name | Sheena I Dev |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144861469 PECOS PAC ID: 4284044207 Enrollment ID: I20201103001685 |
| Provider Name | Erica R Appleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154949873 PECOS PAC ID: 8628489028 Enrollment ID: I20201116000557 |
| Provider Name | Mariel Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760732895 PECOS PAC ID: 0042617086 Enrollment ID: I20210917002368 |
| Provider Name | John P Bernstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033883822 PECOS PAC ID: 7113310152 Enrollment ID: I20220215001575 |
| Provider Name | Jessica A Brommelhoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871982314 PECOS PAC ID: 1355660580 Enrollment ID: I20220504000256 |
| Provider Name | Kristina Pinto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780328708 PECOS PAC ID: 2961881768 Enrollment ID: I20220624002129 |
| Provider Name | Sara Carabbio-thopsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144770371 PECOS PAC ID: 5395121719 Enrollment ID: I20221007000911 |
| Provider Name | Shana J Turowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528540978 PECOS PAC ID: 0345617163 Enrollment ID: I20221108002968 |
| Provider Name | Charles Cederberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215554571 PECOS PAC ID: 9436518271 Enrollment ID: I20230711002718 |
| Provider Name | Melanie Mcardle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003586314 PECOS PAC ID: 6406202746 Enrollment ID: I20231024000347 |
| Provider Name | Martina Azar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851176879 PECOS PAC ID: 9436506409 Enrollment ID: I20231113002542 |
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