DR. REVA S. TANKLE (NPI# 1609201672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609201672 |
| Entity Type | Individual |
| Full Name | DR. REVA S. TANKLE |
| Credential | PH.D. |
| Practice Address |
55 Chapel St Ste 2 Newton MA 02458-1060 |
| Practice Telephone | 6176589821 |
| Mailing Telephone | 6176589821 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 3598 | MA | Behavioral Health & Social Service Providers |
| Street Address |
55 CHAPEL ST STE 2 |
| City | NEWTON |
| State | MA |
| Zip Code | 02458-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372136 | Marie Beh Buckhout | Chiropractor | 517 Washington Street, Newton, MA 02458 | 2020-10-07 |
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1083179220 | Leslie Gary Brody | Social Worker | 35 Buswell Park, Newton, MA 02458 | 2019-02-01 |
| 1114499043 | Anne Irene Vermeulen | Health Educator | 55 Chapel Street, Suite 300, Newton, MA 02458 | 2018-12-17 |
| 1669957023 | Marla Rutenberg | Social Worker | 4 Cotton Street, Newton, MA 02458 | 2018-10-01 |
| 1104339787 | Stephanie Chancey | Counselor | 425 Watertown Street, The Academy, Newton, MA 02458 | 2017-11-06 |
| 1356886485 | Elizabeth Woodruff | Social Worker | 77 Warren St. Building #9, Brighton, MA 02458 | 2016-12-28 |
| 1346618519 | Jessica Farnsworth Kruss | Counselor | 425 Rear Watertown St., Newton, MA 02458 | 2015-09-04 |
| 1043631591 | Judith Sheolie Fernando | Psychiatry & Neurology | 313 Washington Street Newton, Newton, MA 02458 | 2014-01-01 |
| 1861830887 | Allison L. Phillips | Social Worker | 64 Eldredge St., Newton, MA 02458 | 2013-06-12 |
| Find all providers in zip 02458 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194365312 | Erin Grace Kitchener | Clinical Neuropsychologist | 1 Wells Ave Fl 4, Newton, MA 02459-3211 | 2020-01-15 |
| 1053789230 | Lisa Hahn | Clinical Neuropsychologist | 916 Maple Ave, Newton, NJ 07860-4404 | 2015-09-04 |
| 1285800730 | Marlene Oscar Berman | Clinical Neuropsychologist | 115 Cotton St, Newton, MA 02458-2639 | 2008-05-05 |
| 1457545006 | Nesca PC | Clinical Neuropsychologist | 90 Bridge St, Newton, MA 02458-1119 | 2007-08-28 |
| 1659428654 | Rafael Castro | Clinical Neuropsychologist | 193 Oak St, Suite 1, Newton, MA 02464-1457 | 2007-01-04 |
| 1124180757 | Barbara Florence Bruno Golden | Clinical Neuropsychologist | 151 Sargent St, Newton, MA 02458-2338 | 2006-12-13 |
| 1598848483 | Elizabeth J. Baker | Clinical Neuropsychologist | 385 Waverley Ave, Newton, MA 02458-2720 | 2006-10-23 |
| 1255375655 | Robert Anthony Caggiano | Clinical Neuropsychologist | 165 Neshobe Rd, Newton, MA 02468-1348 | 2006-06-15 |
| 1710977483 | Nancy Hebben | Clinical Neuropsychologist | 275 Grove St, Bldg 2, Suite 400, Newton, MA 02466-2272 | 2005-10-25 |
| 1164978722 | Boston Behavior Learning Centers | Clinical Neuropsychologist | 109 Oak St, Suite 103, Newton, MA 02464-1492 | 2016-09-01 |
| Find all providers in NEWTON | ||||
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| 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.