Marussia R Role, PSYD
Psychologist, Clinical in Cambridge, Massachusetts
1447628045- Practice location
- 11 Beech St, Cambridge, MA 02140
- Phone
- 617-418-1286
- Fax
- —
- Last updated
- March 4, 2021
Marussia Rothenberg Role is a Psychologist, Clinical based in Cambridge, MA. Marussia Rothenberg Role practices in Cambridge, MA and has the professional credentials of PSYD. The NPI Number for Marussia Rothenberg Role is 1447628045 and holds a License No. 11137 (MA). The current practice location address for Marussia Rothenberg Role is 11 Beech St, Cambridge, MA 02140 and can be reached out via phone at 617-418-1286.
Provider Profile Details
- NPI Number
- 1447628045
- Provider Name
- Marussia Rothenberg Role
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 Beech St, Cambridge, MA 02140
- Phone Number
- 617-418-1286
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 14, 2015
- Last Update Date
- March 4, 2021
- Certification Date
- February 12, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Beech St
Cambridge, MA 02140 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02140
- Phone Number
- 617-418-1286
Provider Business Mailing Address Details
- Address
- 411A Highland Ave
Box 378
Somerville, MA 02144-2516 - City
- Somerville
- State
- MA
- Zip
- 02144-2516
- Phone Number
- 617-418-1286
License Information
- License Number (1)
- 11137
- License State (1)
- MA
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X · Primary
- License State (2)
- CA
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
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 Marussia R Role, PSYD?
The NPI number of Marussia R Role, PSYD is 1447628045. It was assigned on September 14, 2015 and is currently active in the NPPES registry.
What is the specialty of Marussia R Role, PSYD?
Marussia R Role, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11137.
Where does Marussia R Role, PSYD practice?
The practice location is 11 Beech St, Cambridge, MA 02140. The office can be reached at 617-418-1286 (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 1447628045 directly on the NPPES registry website.