Menatalla Ads
Psychologist, Clinical in Cambridge, Massachusetts
1548637572- Practice location
- 1493 Cambridge St, Cambridge, MA 02139-1047
- Phone
- 617-665-1600
- Fax
- —
- Last updated
- July 12, 2019
Menatalla Ads is a Psychologist, Clinical based in Cambridge, MA. Menatalla Ads practices in Cambridge, MA. The NPI Number for Menatalla Ads is 1548637572 and holds a License No. 11071 (MA). The current practice location address for Menatalla Ads is 1493 Cambridge St, Cambridge, MA 02139-1047 and can be reached out via phone at 617-665-1600.
Provider Profile Details
- NPI Number
- 1548637572
- Provider Name
- Menatalla Ads
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1493 Cambridge St, Cambridge, MA 02139-1047
- Phone Number
- 617-665-1600
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 25, 2015
- Last Update Date
- July 12, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1493 Cambridge St
Cambridge, MA 02139-1047 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02139-1047
- Phone Number
- 617-665-1600
Provider Business Mailing Address Details
- Address
- 1493 Cambridge St
Cambridge, MA 02139-1047 - City
- Cambridge
- State
- MA
- Zip
- 02139-1047
- Phone Number
- 617-665-1000
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 11071
- License State (2)
- MA
- Taxonomy (2)
- 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 Menatalla Ads?
The NPI number of Menatalla Ads is 1548637572. It was assigned on August 25, 2015 and is currently active in the NPPES registry.
What is the specialty of Menatalla Ads?
Menatalla Ads is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11071.
Where does Menatalla Ads practice?
The practice location is 1493 Cambridge St, Cambridge, MA 02139-1047. The office can be reached at 617-665-1600 (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 1548637572 directly on the NPPES registry website.