Dr. Stacey Kimmelman, PSYD
Psychologist, Clinical in Boston, Massachusetts
1225195126- Practice location
- 160 Commonwealth Ave, Suite U3, Boston, MA 02116-2707
- Phone
- 617-259-1895
- Fax
- —
- Last updated
- November 14, 2008
Stacey Kimmelman is a Psychologist, Clinical based in Boston, MA. Stacey Kimmelman practices in Boston, MA and has the professional credentials of PSYD. The NPI Number for Stacey Kimmelman is 1225195126 and holds a License No. 8199 (MA). The current practice location address for Stacey Kimmelman is 160 Commonwealth Ave, Suite U3, Boston, MA 02116-2707 and can be reached out via phone at 617-259-1895.
Provider Profile Details
- NPI Number
- 1225195126
- Provider Name
- Stacey Kimmelman
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 160 Commonwealth Ave, Suite U3, Boston, MA 02116-2707
- Phone Number
- 617-259-1895
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 2, 2007
- Last Update Date
- November 14, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 160 Commonwealth Ave
Suite U3
Boston, MA 02116-2707 - City
- Boston
- State
- Massachusetts
- Zip
- 02116-2707
- Phone Number
- 617-259-1895
Provider Business Mailing Address Details
- Address
- 160 Commonwealth Ave
Suite U3
Boston, MA 02116-2707 - City
- Boston
- State
- MA
- Zip
- 02116-2707
- Phone Number
- 617-259-1895
License Information
- License Number
- 8199
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Stacey Kimmelman, PSYD?
The NPI number of Dr. Stacey Kimmelman, PSYD is 1225195126. It was assigned on January 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Stacey Kimmelman, PSYD?
Dr. Stacey Kimmelman, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 8199.
Where does Dr. Stacey Kimmelman, PSYD practice?
The practice location is 160 Commonwealth Ave, Suite U3, Boston, MA 02116-2707. The office can be reached at 617-259-1895 (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 1225195126 directly on the NPPES registry website.