TRUSTEES OF TUFTS COLLEGE


Address: 1 Kneeland St Fl 6, Boston, MA 02111-1527
Phone: 6176366817

TRUSTEES OF TUFTS COLLEGE (NPI# 1609360510) 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) 1609360510
Entity Type Organization
Organization Name TRUSTEES OF TUFTS COLLEGE
Other Organization Name CRANIOFACIAL PAIN CLINIC-BEHAVIORAL HEALTH
Practice Address 1 Kneeland St Fl 6
Boston
MA 02111-1527
Mailing Address 200 Harrison Ave Fl 2
Boston
MA 02111-1836
Practice Telephone 6176366817
Mailing Telephone 6176360451
Enumeration Date 2018-06-15
Last Update Date 2018-06-15
Authorized Official Name LISA GATELY (CREDENTIALING MANAGER)
Authorized Official Telephone 6176366505
Is Organization Subpart Y
Parent Organization Name TRUSTEES OF TUFTS COLLEGE

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Craniofacial Pain Clinic-Behavioral Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811490790 Trustees of Tufts College Clinic/Center 200 Harrison Ave Fl 2, Boston, MA 02111 2018-03-16
1770797698 Trustees of Tufts College Clinic/Center Tdf Community Program, 200 Trapelo Rd, Waltham, MA 02452 2007-05-09
1790955318 Trustees of Tufts College 1 Kneeland St, 6th Floor, Boston, MA 02111-1527 2008-03-11
1356559371 Trustees of Tufts College Clinic/Center 1 Kneeland St, 15th Floor, Boston, MA 02111-1527 2007-05-21

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations TRUSTEES OF TUFTS COLLEGE 169 Holland St Office of University Counsel, Somerville, MA 02144
Oregon Corporations, Companies and Business Names TRUSTEES OF TUFTS COLLEGE 169 Holland St, SOMERVILLE MA
Colorado Business Entities Trustees of Tufts College 169 Holland St, Somerville, MA 02144
Oklahoma Business Registrations TRUSTEES OF TUFTS COLLEGE 169 Holland St, Somerville, MA 02144
System for Award Management (SAM) Entities TRUSTEES OF TUFTS COLLEGE INC 200 Westboro Rd, North Grafton, MA 01536-1828

Office Location

Street Address 1 KNEELAND ST FL 6
City BOSTON
State MA
Zip Code 02111-1527

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689271397 Maximilian Richert Counselor 25 Kingston St, 4r, Boston, MA 02111 2020-10-06
1558978957 Tien-hsin Chang Student in an Organized Health Care Education/Training Program 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 2020-09-29
1548883465 Elizabeth Carter Stapleton Dentist Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 2020-05-27
1932729597 Jacob Joseph Kosarchuk Neurological Surgery 800 Washington Street, Proger 7, Boston, MA 02111 2020-04-23
1164051868 Daniele Abela Surgery 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 2020-04-04
1184265258 Jade Orthodontics Dentist 30 Kneeland St, Suite 301, Boston, MA 02111 2019-09-30
1932753639 Loukia Kamille Danaf Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 2019-07-31
1033771944 Faris Khalifa Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 5th Floor, Boston, MA 02111 2019-07-01
1609437276 Blair Hanna Ray Farbstein Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 3rd Floor, Boston, MA 02111 2019-06-25
1821658709 Jennifer Drummond Internal Medicine 800 Washington St. Gme Office, Boston, MA 02111 2019-06-13
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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841897345 Sade Callwood Psychologist 185 Devonshire St Ste 800, Boston, MA 02110-1414 2020-10-07
1184239808 Morgan Eleanor Smigielski Psychologist 65 Park Dr Apt 18, Boston, MA 02215-5238 2020-09-10
1679183230 Holly Muller Psychologist 225 Friend St, Boston, MA 02114-1800 2020-08-07
1942826813 David Leo Pendergast Psychologist 36 A St Unit 6c, Boston, MA 02127-1870 2020-06-17
1063035566 Hermine Muskat Psychologist 1313 Washington St Apt 521, Boston, MA 02118-2170 2020-05-19
1750914503 Stephanie Petit Jean Louis Psychologist 80 Fenwood Rd Unit 405, Boston, MA 02115-6138 2020-02-20
1164078754 Alexandria Miller Psychologist 801 Massachusetts Ave # 2067, Boston, MA 02118-2605 2019-08-10
1356824288 Mira Mooreville Nurko Psychologist 71 Rockview St, Boston, MA 02130-2147 2018-09-06
1083195416 Lawrence Pilkington Stifler Psychologist 99 Summer St Fl 12, Boston, MA 02110-1213 2018-08-23
1952896326 Amy R. Pettit Psychologist 11 Deerfield St, Boston, MA 02215-5600 2018-06-27
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Competitor

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City BOSTON
Zip Code 02111

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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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