Active NPIIndividual providerSole proprietor

Michelle De Sedas, PSYD

Psychologist, Clinical in Boston, Massachusetts

NPI Number1568828580
Practice location
112 Water St Ste 203, Boston, MA 02109-4225
Fax
—
Last updated
August 12, 2020

Michelle De Sedas is a Psychologist, Clinical based in Boston, MA. Michelle De Sedas practices in Boston, MA and has the professional credentials of PSYD. The NPI Number for Michelle De Sedas is 1568828580 and holds a License No. 11125 (MA). The current practice location address for Michelle De Sedas is 112 Water St Ste 203, Boston, MA 02109-4225 and can be reached out via phone at 617-315-8856.

Provider Profile Details

NPI Number
1568828580
Provider Name
Michelle De Sedas
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
112 Water St Ste 203, Boston, MA 02109-4225
Phone Number
617-315-8856
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 6, 2016
Last Update Date
August 12, 2020
Certification Date
August 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
112 Water St Ste 203
Boston, MA 02109-4225
City
Boston
Zip
02109-4225
Phone Number
617-315-8856
Boston, MA 02109Get directions →

Provider Business Mailing Address Details

Address
186 Alewife Brook Pkwy # 1019
Cambridge, MA 02138-1121
City
Cambridge
State
MA
Zip
02138-1121
Phone Number
617-302-8092

License Information

License Number
11125
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · 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 Michelle De Sedas, PSYD?

The NPI number of Michelle De Sedas, PSYD is 1568828580. It was assigned on January 6, 2016 and is currently active in the NPPES registry.

What is the specialty of Michelle De Sedas, PSYD?

Michelle De Sedas, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11125.

Where does Michelle De Sedas, PSYD practice?

The practice location is 112 Water St Ste 203, Boston, MA 02109-4225. The office can be reached at 617-315-8856 (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 1568828580 directly on the NPPES registry website.

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