Active NPIOrganization

Dr Kerrie LLC

Psychologist, Clinical Child & Adolescent in Cambridge, Massachusetts

NPI Number1033672100
Practice location
10 Hawthorne Park, Cambridge, MA 02138-2104
Fax
—
Last updated
June 11, 2019

Dr Kerrie LLC is a healthcare organization based in Cambridge, MA. Dr Kerrie LLC practices in Cambridge, MA. The NPI Number for Dr Kerrie LLC is 1033672100. The current practice location address for Dr Kerrie LLC is 10 Hawthorne Park, Cambridge, MA 02138-2104 and can be reached out via phone at 617-372-5653.

Provider Profile Details

NPI Number
1033672100
Provider Name
Dr Kerrie LLC
Provider Entity Type
Organization
Address
10 Hawthorne Park, Cambridge, MA 02138-2104
Phone Number
617-372-5653
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Organization Subpart
No
Authorized Official
Dr. Kerrie Jongeneelen, PSYD · Clinical Psychologist · 617-372-5653
Provider Enumeration Date
April 7, 2019
Last Update Date
June 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Hawthorne Park
Cambridge, MA 02138-2104
Zip
02138-2104
Phone Number
617-372-5653
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
405 Concord Ave Unit 386
Belmont, MA 02478-7818
City
Belmont
State
MA
Zip
02478-7818
Phone Number
617-372-5653

License Information

Taxonomy (1)
Psychologist, Clinical · 103TC0700X
Taxonomy (2)
Psychologist, Counseling · 103TC1900X
Taxonomy (3)
Psychologist, Family · 103TF0000X
Taxonomy (4)
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr Kerrie LLC?

The NPI number of Dr Kerrie LLC is 1033672100. It was assigned on April 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr Kerrie LLC?

Dr Kerrie LLC is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X).

Where does Dr Kerrie LLC practice?

The practice location is 10 Hawthorne Park, Cambridge, MA 02138-2104. The office can be reached at 617-372-5653 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033672100 directly on the NPPES registry website.

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