Alexis Chavis, PSY
Psychologist in Revere, Massachusetts
1659590966- Practice location
- 454 Broadway, Revere, MA 02151-3034
- Phone
- 781-485-8222
- Fax
- —
- Last updated
- February 3, 2021
Alexis Chavis is a Psychologist based in Revere, MA. Alexis Chavis practices in Revere, MA and has the professional credentials of PSY. The NPI Number for Alexis Chavis is 1659590966 and holds a License No. 31520 (CA). The current practice location address for Alexis Chavis is 454 Broadway, Revere, MA 02151-3034 and can be reached out via phone at 781-485-8222.
Provider Profile Details
- NPI Number
- 1659590966
- Provider Name
- Alexis Chavis
- Credential
- PSY
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 454 Broadway, Revere, MA 02151-3034
- Phone Number
- 781-485-8222
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 25, 2007
- Last Update Date
- February 3, 2021
- Certification Date
- February 3, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 454 Broadway
Revere, MA 02151-3034 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-3034
- Phone Number
- 781-485-8222
Provider Business Mailing Address Details
- Address
- 625 W Washington Ave
Madison, WI 53703-2637 - City
- Madison
- State
- WI
- Zip
- 53703-2637
License Information
- License Number (1)
- 31520
- License State (1)
- CA
- Taxonomy (1)
- Psychologist · 103T00000X
- License Number (2)
- 11417
- License State (2)
- MA
- Taxonomy (2)
- Psychologist · 103T00000X · 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 Alexis Chavis, PSY?
The NPI number of Alexis Chavis, PSY is 1659590966. It was assigned on April 25, 2007 and is currently active in the NPPES registry.
What is the specialty of Alexis Chavis, PSY?
Alexis Chavis, PSY is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CA under license number 31520.
Where does Alexis Chavis, PSY practice?
The practice location is 454 Broadway, Revere, MA 02151-3034. The office can be reached at 781-485-8222 (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 1659590966 directly on the NPPES registry website.