Active NPIIndividual providerSole proprietor

Dr. Rebecca M Gimeno, PHD

Psychologist, Clinical in Boston, Massachusetts

NPI Number1780177105
Practice location
160 Commonwealth Ave Ste U3, Boston, MA 02116-2749
Fax
—
Last updated
August 2, 2021

Rebecca Marcelina Gimeno is a Psychologist, Clinical based in Boston, MA. Rebecca Marcelina Gimeno practices in Boston, MA and has the professional credentials of PHD. The NPI Number for Rebecca Marcelina Gimeno is 1780177105 and holds a License No. 11467 (MA). The current practice location address for Rebecca Marcelina Gimeno is 160 Commonwealth Ave Ste U3, Boston, MA 02116-2749 and can be reached out via phone at 617-353-3047.

Provider Profile Details

NPI Number
1780177105
Provider Name
Rebecca Marcelina Gimeno
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
160 Commonwealth Ave Ste U3, Boston, MA 02116-2749
Phone Number
617-353-3047
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 11, 2018
Last Update Date
August 2, 2021
Certification Date
April 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 Commonwealth Ave Ste U3
Boston, MA 02116-2749
City
Boston
Zip
02116-2749
Phone Number
617-353-3047
Boston, MA 02116Get directions →

Provider Business Mailing Address Details

Address
28 Cumberland St Apt 4
Boston, MA 02115-5308
City
Boston
State
MA
Zip
02115-5308
Phone Number
724-462-4361

License Information

Taxonomy (1)
Psychologist · 103T00000X
License Number (3)
11467
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. Rebecca M Gimeno, PHD?

The NPI number of Dr. Rebecca M Gimeno, PHD is 1780177105. It was assigned on June 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Rebecca M Gimeno, PHD?

Dr. Rebecca M Gimeno, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11467.

Where does Dr. Rebecca M Gimeno, PHD practice?

The practice location is 160 Commonwealth Ave Ste U3, Boston, MA 02116-2749. The office can be reached at 617-353-3047 (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 1780177105 directly on the NPPES registry website.

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