STEPHANIE PETIT JEAN LOUIS


Address: 80 Fenwood Rd Unit 405, Boston, MA 02115-6138
Phone: 8573089680

STEPHANIE PETIT JEAN LOUIS (NPI# 1750914503) 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) 1750914503
Entity Type Individual
Full Name STEPHANIE PETIT JEAN LOUIS
Practice Address 80 Fenwood Rd Unit 405
Boston
MA 02115-6138
Practice Telephone 8573089680
Mailing Telephone 8573089680
Enumeration Date 2020-02-20
Last Update Date 2020-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Office Location

Street Address 80 FENWOOD RD UNIT 405
City BOSTON
State MA
Zip Code 02115-6138

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1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
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1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
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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
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
1609360510 Trustees of Tufts College Psychologist 1 Kneeland St Fl 6, Boston, MA 02111-1527 2018-06-15
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Competitor

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City BOSTON
Zip Code 02115

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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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