DR. KATHERINE TRACY MUNN


Address: 1 Fitchburg St, #c410, Somerville, MA 02143-2136
Phone: 6177641886

DR. KATHERINE TRACY MUNN (NPI# 1295875011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295875011
Entity Type Individual
Full Name DR. KATHERINE TRACY MUNN
Other Name DR. K. TRACY MUNN
Credential PH.D.
Practice Address 1 Fitchburg St
#c410
Somerville
MA 02143-2136
Practice Telephone 6177641886
Mailing Telephone 6177641886
Enumeration Date 2007-02-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6007 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BCBSMA PROVIDER ID W04826 01

Office Location

Street Address 1 FITCHBURG ST
#C410
City SOMERVILLE
State MA
Zip Code 02143-2136

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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Competitor

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City SOMERVILLE
Zip Code 02143

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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