Mark Centrella, PSYD
Psychologist, Clinical in Belmont, Massachusetts
1396717880- Practice location
- 115 Mill St, Belmont, MA 02478-1041
- Phone
- 617-855-3674
- Fax
- 617-855-3826
- Last updated
- September 26, 2011
Mark Centrella is a Psychologist, Clinical based in Belmont, MA. Mark Centrella practices in Belmont, MA and has the professional credentials of PSYD. The NPI Number for Mark Centrella is 1396717880 and holds a License No. 6129 (MA). The current practice location address for Mark Centrella is 115 Mill St, Belmont, MA 02478-1041 and can be reached out via phone at 617-855-3674 and via fax at 617-855-3826.
Provider Profile Details
- NPI Number
- 1396717880
- Provider Name
- Mark Centrella
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 115 Mill St, Belmont, MA 02478-1041
- Phone Number
- 617-855-3674
- Fax Number
- 617-855-3826
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 7, 2006
- Last Update Date
- September 26, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 115 Mill St
Belmont, MA 02478-1041 - City
- Belmont
- State
- Massachusetts
- Zip
- 02478-1041
- Phone Number
- 617-855-3674
- Fax Number
- 617-855-3826
Provider Business Mailing Address Details
- Address
- 76 Baker St
Belmont, MA 02478-4025 - City
- Belmont
- State
- MA
- Zip
- 02478-4025
- Phone Number
- 617-489-2794
- Fax Number
- 617-855-3826
License Information
- License Number
- 6129
- 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 Mark Centrella, PSYD?
The NPI number of Mark Centrella, PSYD is 1396717880. It was assigned on February 7, 2006 and is currently active in the NPPES registry.
What is the specialty of Mark Centrella, PSYD?
Mark Centrella, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 6129.
Where does Mark Centrella, PSYD practice?
The practice location is 115 Mill St, Belmont, MA 02478-1041. The office can be reached at 617-855-3674 (phone) or 617-855-3826 (fax).
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 1396717880 directly on the NPPES registry website.