NPIMap

Organization Active NPI

Kristen Ihde, PSYD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Quincy, MA
National Provider Identifier
1063989085
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KRISTEN IHDE, PSYD LLC
Practice address
1212 Hancock St Ste 120D
Quincy, MA 02169-4371
Phone
(857) 241-3711
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen Ihde, PSYDNPI 1194073478
Title
Licensed Psychologist
Phone
(857) 241-3711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1212 Hancock St Ste 120D
Quincy, MA 02169-4371

Mailing address

1212 Hancock St Ste 120D
Quincy, MA 02169-4371

National Provider Directory

National Provider Directory

Locations

1212 Hancock St
Ste 120D
Quincy, MA 02169
Phone (857) 241-3711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1063989085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HANCOCK ST STE 120D",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 HANCOCK ST STE 120D",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694371",
            "telephone_number": "857-241-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN IHDE, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "IHDE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "857-241-3711",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.