Active NPIIndividual provider

Dr. Cecilia Provvedini, PSYD

Psychologist, Clinical in Bolton, Massachusetts

NPI Number1588119275
Practice location
401 Main St, Bolton, MA 01740-1147
Fax
—
Last updated
September 1, 2022

Cecilia Provvedini is a Psychologist, Clinical based in Bolton, MA. Cecilia Provvedini practices in Bolton, MA and has the professional credentials of PSYD. The NPI Number for Cecilia Provvedini is 1588119275 and holds a License No. 11896 (MA). The current practice location address for Cecilia Provvedini is 401 Main St, Bolton, MA 01740-1147 and can be reached out via phone at 978-558-9728.

Provider Profile Details

NPI Number
1588119275
Provider Name
Cecilia Provvedini
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
401 Main St, Bolton, MA 01740-1147
Phone Number
978-558-9728
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
August 23, 2016
Last Update Date
September 1, 2022
Certification Date
September 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
401 Main St
Bolton, MA 01740-1147
City
Bolton
Zip
01740-1147
Phone Number
978-558-9728
Bolton, MA 01740Get directions →

Provider Business Mailing Address Details

Address
401 Main St
Bolton, MA 01740-1147
City
Bolton
State
MA
Zip
01740-1147
Phone Number
978-558-9728

License Information

License Number
11896
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 Dr. Cecilia Provvedini, PSYD?

The NPI number of Dr. Cecilia Provvedini, PSYD is 1588119275. It was assigned on August 23, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Cecilia Provvedini, PSYD?

Dr. Cecilia Provvedini, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11896.

Where does Dr. Cecilia Provvedini, PSYD practice?

The practice location is 401 Main St, Bolton, MA 01740-1147. The office can be reached at 978-558-9728 (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 1588119275 directly on the NPPES registry website.

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