Dr. Maryam Rezazadeh, PHD
Psychologist, Clinical in Concord, Massachusetts
1982097754- Practice location
- 200 Baker Ave Ste 203, Concord, MA 01742-2170
- Phone
- 781-646-0500
- Fax
- —
- Last updated
- September 8, 2022
Maryam Rezazadeh is a Psychologist, Clinical based in Concord, MA. Maryam Rezazadeh practices in Concord, MA and has the professional credentials of PHD. The NPI Number for Maryam Rezazadeh is 1982097754 and holds a License No. 11879 (MA). The current practice location address for Maryam Rezazadeh is 200 Baker Ave Ste 203, Concord, MA 01742-2170 and can be reached out via phone at 781-646-0500.
Provider Profile Details
- NPI Number
- 1982097754
- Provider Name
- Maryam Rezazadeh
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Baker Ave Ste 203, Concord, MA 01742-2170
- Phone Number
- 781-646-0500
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 18, 2015
- Last Update Date
- September 8, 2022
- Certification Date
- September 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Baker Ave Ste 203
Concord, MA 01742-2170 - City
- Concord
- State
- Massachusetts
- Zip
- 01742-2170
- Phone Number
- 781-646-0500
Provider Business Mailing Address Details
- Address
- 14 Oak Meadow RD
Lincoln, MA 01773-2214 - City
- Lincoln
- State
- MA
- Zip
- 01773-2214
- Phone Number
- 617-758-9786
License Information
- License Number
- 11879
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · 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 Dr. Maryam Rezazadeh, PHD?
The NPI number of Dr. Maryam Rezazadeh, PHD is 1982097754. It was assigned on March 18, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Maryam Rezazadeh, PHD?
Dr. Maryam Rezazadeh, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11879.
Where does Dr. Maryam Rezazadeh, PHD practice?
The practice location is 200 Baker Ave Ste 203, Concord, MA 01742-2170. The office can be reached at 781-646-0500 (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 1982097754 directly on the NPPES registry website.