DR. KATRINA H COLISTRA (NPI# 1649762832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649762832 |
| Entity Type | Individual |
| Full Name | DR. KATRINA H COLISTRA |
| Credential | PSYD |
| Practice Address |
45 Williams St Marlborough MA 01752-6054 |
| Practice Telephone | 6178424773 |
| Mailing Telephone | 6178424773 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
10162 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 10162 | 05 |
| Street Address |
45 WILLIAMS ST |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752-6054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639536071 | Courtney Skaar | Psychologist | 45 Williams Street, Marlborough, MA 01752 | 2016-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863172 | Zoe Ray | Psychologist | 24 New Chardon St Ste 200, Boston, MA 02114-4703 | 2020-05-27 |
| 1043831118 | Carol G Feldman | Psychologist | 23 Rutland Sq, Boston, MA 02118-3105 | 2020-04-30 |
| 1326533654 | Susan E Flood | Psychologist | 25 Whittier St, Cambridge, MA 02140-2611 | 2018-06-28 |
| 1447741988 | Robert A Fein | Psychologist | 1770 Massachusetts Ave Ste 197, Cambridge, MA 02140-2808 | 2018-05-21 |
| 1063902740 | Carla Alexandra Lourenco | Psychologist | 52 Obery St, Plymouth, MA 02360-2199 | 2018-05-17 |
| 1821588617 | Jonathan Parad | Psychologist | 4 The Lope, Haydenville, MA 01039-9726 | 2018-05-16 |
| 1902396864 | Priscilla Hoffnung | Psychologist | 29 Ashcroft St, Jamaica Plain, MA 02130-4325 | 2018-05-16 |
| 1093205502 | Barbara Quinones | Psychologist | 39 Mount Hope St, Norwell, MA 02061-1017 | 2018-05-10 |
| 1942790472 | Hilary Novak | Psychologist | 2200 Cranberry Hwy, West Wareham, MA 02576-1219 | 2018-05-10 |
| 1801385489 | Thomas Grisso | Psychologist | 4 Candlewood Way, Shrewsbury, MA 01545-1728 | 2018-05-09 |
| Find all providers with the same taxonomy | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
Please comment or provide details below to improve the information on DR. KATRINA H COLISTRA.
| 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.