Active NPIIndividual provider

Dr. Katherine L Craigen, PHD

Psychologist, Clinical in Waltham, Massachusetts

NPI Number1750779005
Practice location
69 Hickory Dr Ste 2000, Waltham, MA 02451-1011
Fax
—
Last updated
November 4, 2020

Katherine L E Craigen is a Psychologist, Clinical based in Waltham, MA. Katherine L E Craigen practices in Waltham, MA and has the professional credentials of PHD. The NPI Number for Katherine L E Craigen is 1750779005 and holds a License No. 020950 (NY). The current practice location address for Katherine L E Craigen is 69 Hickory Dr Ste 2000, Waltham, MA 02451-1011 and can be reached out via phone at 781-269-2823.

Provider Profile Details

NPI Number
1750779005
Provider Name
Katherine L E Craigen
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
69 Hickory Dr Ste 2000, Waltham, MA 02451-1011
Phone Number
781-269-2823
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
January 8, 2015
Last Update Date
November 4, 2020
Certification Date
August 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
69 Hickory Dr Ste 2000
Waltham, MA 02451-1011
Zip
02451-1011
Phone Number
781-269-2823
Waltham, MA 02451Get directions →

Provider Business Mailing Address Details

Address
11 Rockdale Hill Cir
Upton, MA 01568-1722
City
Upton
State
MA
Zip
01568-1722
Phone Number
603-738-3722

License Information

License Number (1)
020950
License State (1)
NY
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
003865
License State (2)
CT
Taxonomy (2)
Psychologist, Clinical · 103TC0700X
License Number (3)
10151
License State (3)
MA
Taxonomy (3)
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. Katherine L Craigen, PHD?

The NPI number of Dr. Katherine L Craigen, PHD is 1750779005. It was assigned on January 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Katherine L Craigen, PHD?

Dr. Katherine L Craigen, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 020950.

Where does Dr. Katherine L Craigen, PHD practice?

The practice location is 69 Hickory Dr Ste 2000, Waltham, MA 02451-1011. The office can be reached at 781-269-2823 (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 1750779005 directly on the NPPES registry website.

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